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Medical Coding Author’s Name Institutional Affiliation Date Medical Coding General surgery involves performing a surgical specialty with the focus on contents of the abdomen which includes pancreas, stomach, and colon among others. It may extend to surgical coding where the focus is the surgical subspecialty. Certified coders must be involved in the performance of such a medical exercise for best results. The involvement of medical coding presents an opportunity for performing bilateral surgeries among other multiple surgical procedures which must frequently be performed. The role of this essay is to provide the documentation for general surgery, determination of success for coders, and the need for having up to date records in the entire coding process. Documentation for General Surgery Documentation for general surgery presents a combination of medical records with a chronological outline of the course of treatment for the patient. There should be the high quality of reports obtained from medical records without any element of sub-optimality. In essence, any deficiency in the source documents must be eliminated. Achieving this is possible through the aspect of documenting relevant data relating to the subject of medical coding. The use of general surgery documentation is an appropriate technique for coding, and this is used in therapeutic conditions, diagnostic, lesion excision, biopsy, diverting ileostomy, “Hyperthermic Intraperitoneal Chemotherapy” coding (HIPEC), and trauma coding ("2017 Mastering General Surgery CPT© Coding", 2016). Specific examples of documentation in general surgery include inpatient service requirements, observation service
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