Tag Archives: Coding

43255 Good Bet For Coding For Excessive Blood Loss

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When you are coding for excessive blood loss, modifier 22 may not be what you are looking for. The answer may depend on more appropriate CPTs such as 43255 and critical care codes.

Think about endoscopy with injection as option

Scenario 1:

The physician injects epinephrine into a duodenal ulcer to control active bleeding during endoscopy with biopsy. 43239, Upper gastrointestinal endoscopy including esophagus, stomach and either the duodenum and/or jejunum as apt; with biopsy, single or multiple).

Previously, you may opt to use 43239 appended with modifier 22 (Increased procedural services) if the doctor required effort to control the patient’s bleeding.

However this option would need you to submit additional paper documentation to support your modifier 22 claim. Instead of submitting yourself to potential hassles, you can accurately describe the session by reporting 43239 for the biopsy and 43255 for the control of bleeding provided that the bleeding was not caused by the biopsy.

As is obvious from 43255’s descriptor, this procedure describes control of bleeding by any method including injection.

Requirement: On your claim, you should append modifier 59 to 43255, and then report 43239. Omitting the modifier would give payers the impression that the biopsy (or physician) caused the bleeding and bundle 43255 into 43239.

Extraordinary bleeding requires critical care coding

Scenario 2: When the gastroenterologist is about to carry out an upper GI endoscopy, the patient experiences gastrointestinal bleeding so severe that the doctor must suspend the endoscopy and spend 40 minutes lavaging blood from the gastro-intestinal tract before continuing.

Code it: This time, the critical code 99291 is your best choice.

Here’s why” If the gastroenterologist caused the bleeding, you cannot bill for the control of bleeding procedure. You should call on control-of- bleeding codes only when treatment is required to control bleeding that occurs spontaneously, or as a consequence of traumatic injury (noniatrogenic), and not as a result of another type of operative intervention, the CPT Assistant states.

Remember that the time spent at the bedside carrying out services including lavage of gastric blood isn’t included in the performance of a subsequent endoscopic procedure and is not part of the E&M service that might be carried out on the same day.

Nevertheless, you should not report a critical care code carelessly for an excessive bleeding situation that’s not out of the ordinary. Additional time for emergency bedside services less than 30 minutes does not count as billable critical care service. For prolonged critical care services, the physician should specifically note the amount of time in his notes.

We provide you simple, instant connection to official code descriptors & guidelines and other tools for 2010 CPT code, HCPCS lookup that help coders and billers to excel in the work they do every day.

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Medical Coding – Plus Points of Medical Coding Outsourcing

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Medical coding service is a grand outsourcing field in healthcare industry. Practitioners and hospitals are outsourcing to get various benefits. Professionals are giving more focus and attention to medical coding for easy and quick reimbursement. They are outsourcing to make their clinical staff free from non-core activity and increasing efficiency in clinical task.

Accurate coding is in high demand because insurance companies either government or private only accept the claim if codes are correct. If hospitals or individuals want precise coding, they have to hire professional coder for such. One can also get benefit of all such by outsourcing the task to specialized company.

Clinics and hospitals are utilizing their clinical staff for coding. As a result, they have to suffer from staff inefficiency, low reimbursement and turn-around time. The outsourcing can improve the claim payment turn-around time and the efficiency of clinical staff. The expert at coding company can assign various codes to disease, symptoms and process quickly and effectively.

Through outsourcing medical coding, one can get various advantages:

Huge Cost Benefit: Healthcare provider can save up to 60% of cost by choosing appropriate outsourcing company to complete task. You can directly save the cost of staffing, infrastructure, technologies and stationery. One can also get the solution at cutting rates so you can get double benefit by outsourcing.

Correctness and Trustworthiness: The remote companies have certified or experienced medical coding specialists who manage the accuracy. They are using latest technologies to improve the speed. The outsourcing partners are following HIPAA rules and regulations so there is completely trustworthiness.

Transparency: The medical coding companies do follow the complete transparent method while delivering the output. Most of the reputed companies maintain the transparency. It will help them to gain trust and reliability from the clients.

There are numbers of medical coding companies available in the market to fulfill your requirements. Make sure that you are choosing the one which fits into the criteria. Before outsourcing medical coding requirements to particular company, you must go through whole profiles. You can also ask colleagues for better company. You can also ask for few hours free to check the efficiency of company.

Ray Charles likes to write on medical related topics. He is currently affiliated with Medical Billing-India, a company providing medical billing and medical coding

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Coding machines- Gives perfect coding results

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These days, progressions in various technologies have created various innovative mechanisms that are competently used by nearly every manufacturing unit. Though, there are some particular devices without which performing the tasks are not possible for an undertaking. A range of fine and superior coding devices are broadly used by the associations at the present time.

Coding machines are exceptionally supporting almost every company. These are used in pharmaceutical companies for the purpose of printing the required sequence that includes numeral stamping, exact date of manufacture, expiration date; worth of the item etc. The data is very important to be written on the tags, exterior of the bottles, baggage, pouches; containers made up of tin that are produced by the corporations.

Previously, there was tradle mechanism that was highly used for coding purposes. Now the structures of the machines are modified, yet, there are some apparatus that still works on the principle of the tradle machine. Hand functioning machines and partially automatic machines are the examples of such machines. One has to fill the ink in the aluminum rollers attached with it to use the apparatus. A proper set of alphabets and digits are formed with each stroke of the equipment. While using a hand functioning device, a person has to manage the entire apparatus and the strokes with the help of his hands. On contrary to that, the automatic devices are not required to be managed in the same way and they are similar to the rotating equipments.

Laminated tube filling apparatus is also a type of batch stamping machine. A business owner can get these machines in a number of designs. There are more than a few equipment stores that proffer an extensive collection of appropriate and inexpensive laminated filling devices that are made by using better class materials. The devices are shaped with the help of the guidance given by exceedingly trained teams of experts. These stamping devices are proficient in giving best possible outcomes. Definite characters of this device include:

• Enhanced working pace • Simple and superior tube filling ability • Offer dependable performance

An individual can also purchase a fine cutting and stamping equipment from a nearby market. Also, you can get them in some of the favorable prices. It is at all times recommended to acquire these apparatus from responsible dealers that are available in the market. These hard equipments hold wide-ranging industrialized applications. However, these are designed to fulfill the needs of the customers. Its characteristics consist of:

• Distinct composition • Uncomplicated to be used by anybody • Proffer increased production • Unproblematic management • Requires very less amount of maintenance • Robust arrangement

Ointment and cream filling device is also one of the coding machines. In order to get the desired result, you just have to adjust the device in such a manner so that it could give resourceful result. These are designed by employing the most favorable quality of components. Features of the device are:

• Can be fluently used • Entails less maintenance and working expenses • Correctness of filling

Exclusive Distributor of industrial coding machines in UK and Ireland. We offer a complete range of industrial coding and marking machines with excellent print quality.

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Knowing about Medical Coding and Medical Coding Schools

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If you are fascinated to get a certificate by attending medical coding programs, then it is very suggestible to pick the correct medical coding schools in order to attain ceiling rewards and jobs following completion of the course. There are various schools accessible for the applicants exactly where they can get admission for instruction. Training sessions can be joined from on-line, as it is handy to most of the college students.

During the coaching classes, the candidates have to go via all locations including anatomy, coding and medical terminology, and so forth. All the instruction components are accessible online and job hopefuls can discover their very own time for these coaching applications. It is suggested to full the instruction sessions of coding training course within a particular time for getting better possibilities.
Different instructors are also available on the internet for serving to the candidates in resolving any doubts related to the system, and candidates can seek out the help at any time. Even paid internships are also obtainable exactly where you can earn and get instruction collectively due to the fact you will be functioning along with the coach or doctor.

Job hopefuls will have various alternatives for getting paid internships from the help like workforce services and vocational rehabilitation.Medical coding work are in higher demand among task seekers these days due to the fact potential for these work is increasing quick. Coders typically function at the back again clinics, offices of hospitals, and other healthcare contributors.

This field can be tough, as the codes alter each and every year. In fact, the healthcare structures upgrade all the codes to analysis various codes. Shifting with the instances is needed for anyone in this occupation. These kinds of amendments really should not flip off anyone since as they say, the only eternal thing in this world is an alter and that relate to medical coding careers as properly.

According to the figures, nearly all medical coders are women; however, males are also joining this field. The requirements for turning into a coder have no gender preferences of any type. Initially, you ought to be excellent with personal computers or at least know operating with OS, simply because this will be your vital tool and the only issue you will be staring at most of the time is your monitor. To grow to be an efficient medical coder, you require to have a high school diploma before applying or enrollment in an accredited coding or billing college.

This profession continues to be an essential crucial in the health care method. With out the coders, it could be challenging for healthcare companies to commune to insurance coverage businesses often. In addition, of course, without codes, injuries and infirmity therapies, documenting methods could be a thorny job to deal with.
Medical coding is a regimen type of career so be certain that you are comfortable operating on a desk before plunging into the coding business. This career may also need a good deal of serenity and fortitude, and you should know what requires for coding or such as in a report.

Problem cracking, investigating and diagnostic abilities are needed to grow to be a successful in this implausible meadow of prospect. You can only attain your aim of studying medical coding, when you get yourself into 1 of the higher profile medical coding schools.

Don’t forget to check out medical coding today!

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Dermatology Coding Alert: Master Your Derm ASC Coding

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Numerous changes affecting ASCs every year are enough to confuse you. Still, few aspects of ASC reimbursement continue to be the same. Read further to know how the ASC rules affect you and what dermatology codes you should choose in such a case. These expert tips will surely take you a step ahead in perfecting your dermatology medical billing and coding.

1. ASC-allowed services: Know where to find them. CMS has a very specific list of codes payable for ASCs, but if you don’t know how to access the list, you could be losing your reimbursement.

You can download the most recent ASC-allowable codes from the CMS website. It includes both the current quarter as well as previous quarters in case you’re battling older claims.

2. ‘Same-day global’ rule. Each procedure the ASC bills takes a “same-day” global period as the ASC is only reporting facility fees and not physician work services. This is applicable to the coder working for the ASC and not the physician who performed the service.

In case the physician returned the patient to the ASC the day after the initial surgery, the ASC coder is supposed to report the suitable control-of-bleeding code with no modifier. On the other hand, the surgeon’s coder would report the bleeding-control code with modifier 78 appended because the physician’s services follow the standard global rule.

The ASC coder should go by the “same-day” global rule, but the physician’s coder should follow standard global period rules from the fee schedule.

3. You Can Avoid modifier SG. In the past, the ASC coder had to list modifier SG (ASC facility service) as the first modifier on the claim in case he billed Medicare for any service performed in the ASC. However, that all changed with the CMS Transmittal 1410, which stated that the SG modifier is no longer applicable for Medicare services for services on or after January 1, 2008.

4. Discontinued surgery modifiers may differ. ASC coders may sometimes use modifier 52 (Reduced services) but would not use modifier 53 (Discontinued procedure). Instead, insurers generally want ASC coders to call on modifiers 73 (Discontinued outpatient hospital/ASC procedure before administration of anesthesia) or 74 (Discontinued outpatient hospital/ASC procedure after the administration of anesthesia), as appropriate.

When the physician gets back to the ASC with the patient to perform the aborted procedure at a later date or time, the ASC will get full reimbursement for the completed procedure.

5. Keep in contact with the surgeon’s coder. You could lose your reimbursements when the physician and the ASC report separate codes for the same procedure. Remember, the physician and ASC should report the same codes for each surgery, any coding differences should be fixed before the claim is submitted.

Want to get more tips like these to master dermatology medical billing and coding? Click here to read the entire article and to get access to our monthly Dermatology Coding Alert: Your practical adviser for ethically optimizing dermatology medical billing and coding , payment, and efficiency for dermatology practices

Read more to know everything about dermatology ICD- 9 codes and perfect your dermatology medical billing and coding http://www.supercoder.com/articles/articles-alerts/der/asc-payments-these-5-tips-will-make-your-derm-asc-coding-a-snap/

Jerry Salley, CPC, has over six years’ experience writing about coding, focusing especially on ophthalmology coding with The Coding Institute’s Ophthalmology Coding Alert . He has also written about optometry, gastroenterology, dermatology, audiology, and urology coding, as well as Joint Commission accreditation, healthcare human resources, and behavioral healthcare reimbursement issues. A graduate of Furman University, Jerry is a certified professional coder through the American Academy of Professional Coders.

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How to Create a Web Page Shadow Using Photoshop Slice Tool and HTML Coding

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For an easy-to-implement web page effect, add a Web Page Shadow all the way around your webpages using the Photoshop Slice Tool and HTML coding. Doing so not only adds visual interest but also gives your website a professional look. Read these step by step instructions or watch a video tutorial and follow along with a PDF supplement.

High Level Process:

Create 2 blank documents in Photoshop, one smaller than the other
On the smaller one, add a Photoshop drop shadow all the way around image
Drag the smaller document on top of the larger one to create one flattened image
Use the Photoshop Slice Tool to slice the image into 3 smaller images and upload as 3 separate gif’s
Create a table in your HTML document within the body to hold gifs and content

Step By Step:

Create the larger of two documents in Photoshop (or another image editor). Width is the same as your website template (ex. 950 pixels). Height does not matter but should be big enough to easily use Photoshop Slice Tool (ex. 250 pixels). Color should be the same as your website body.
Create the smaller of two documents in Photoshop. Width should be smaller than the larger document (ex. 800 pixels). Height should be smaller than the larger document (ex. 100 pixels). Color should be the same as your content area.
Add a Photoshop Drop Shadow to the smaller document.
In the Layers Palette, double click on the word “Background” and change it to any other name. This will free up functionality and allow you to easily add a drop shadow.
Open the Layers Style dialog box, click on “Drop Shadow” and set the variables as follows:
Opacity 75%
Angle -90 degrees
Distance 0 px
Spread 35%
Size 35 px
Color #7B7979 (gray shadow)

Drag the smaller document on top of the larger document to create one image. Using the examples above, this image will be 950 pixels wide by 250 pixels high with the smaller, shadowed image embedded on top of it.
Slice the document into 3 smaller images horizontally.
Grab the Photoshop Slice Tool from the Tool Palette. In the top toolbar, set the Style to “Fixed Size” to ensure exact proportions. Using the 950px X 250px example, input width and height as follows:
Top slice equals 950px X 100px
Middle slice equals 950px X 50px
Bottom slice equals 950px X 100px

Now you have one document sliced horizontally into 3 smaller images. The next step is to “Save For Web” and upload each image as a separate gif. In the “Save For Web” dialog box, save each slice separately by clicking on the slice and naming it.
Upload the 3 gif images as usual.
Create a table in the body section of your HTML document to hold the shadow gif images and your content. The first row in your table contains the top shadow gif, the middle row contains your middle shadow gif and content and the last row in your table contains the bottom shadow gif.

Creating a web page shadow using the Photoshop Slice Tool and HTML coding ensures that you do not end up with a jagged, unprofessional looking shadow. If you use this process, you will undoubtedly achieve the results you are looking for.

Visit Free-Website-Tutorials.com where you can watch a Video Tutorial showing step by step instructions on How To Create a Web Page Shadow.

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Human Coding Vs Coding By Automated Software

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Well, there is always being a question regarding human and technology .Which one of these two is better? Some people say that technology is the necessity of human and without technology, human is not able to do most of the things. While some people have only one statement that man can create technology and without man technology is nothing but a useless machine.
In the context of PSD to HTML conversion, same issue is there while coding of markups is to be done. There are Issues on which option to take for PSD to HTML conversion, between human coding and automated software for coding. Both have some advantages and disadvantages.

Conversion Using Software
There are software available in the market for PSD to XHTML/HTML conversion and that too free of cost. You can download that software from internet without any cost and obligation. Manufacturer of these software claims that this software can convert PSD files into desired formats in a very less time in comparison to human coding. Using software for PSD to HTML conversion has its own advantage. Those who are using this software can easily convert PSD to HTML regardless they are having sound knowledge of coding or web designing. Moreover, the time taken in this conversion is very less in compare to human coding. So, we can say, it is fast and easy to do the PSD to HTML conversion by using software.

There are some disadvantages also with the software using PSD to CSS/HTML conversion. Many expert believe and found that this conversion is inaccurate somewhere and it cant come up with readable conversion. Also, due to mechanical conversion, the design is of medium type and customer doesnt take interest in it.

Conversion by Human Coding
PSD to HTML conversion is a very tiresome task and it requires lots of time with sound knowledge of web designing, skills and experience of PSD to HTML conversion. Professional service provider is expert of doing this task of PSD to HTML conversion effectively and efficiently for their customer. Biggest advantage of manual coding process is that it is a basis of search engine optimization and the coding is done according to the keywords trapped by search engine. In the human coding process, coding is done manually and this helps in reducing the file size and at the same time increases the readability. As this coding is simple and web designers understand it fully, it is easy to preform further conversions based on this coding like psd to wordpress, psd to joomla etc.

Xhtml.pixelcrayons.com converts your design files from various common image formats (PSD, JPG, GIF, PNG, AI) into best quality cross-browser compatible W3C validated XHTML/CSS markup. Check xhtml.pixelcrayons for our PSD to HTML Conversion and integration such as PSD to drupal, PSD to WordPress etc.

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Human Coding Vs Coding By Automated Software

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Well, there is always being a question regarding human and technology .Which one of these two is better? Some people say that technology is the necessity of human and without technology, human is not able to do most of the things. While some people have only one statement that man can create technology and without man technology is nothing but a useless machine.
In the context of PSD to HTML conversion, same issue is there while coding of markups is to be done. There are Issues on which option to take for PSD to HTML conversion, between human coding and automated software for coding. Both have some advantages and disadvantages.

Conversion Using Software
There are software available in the market for PSD  to XHTML/HTML conversion and that too free of cost. You can download that software from internet without any cost and obligation. Manufacturer of these software claims that this software can convert PSD files into desired formats in a very less time in comparison to human coding. Using software for PSD to HTML conversion has its own advantage. Those who are using this software can easily convert PSD to HTML regardless they are having sound knowledge of coding or web designing. Moreover, the time taken in this conversion is very less in compare to human coding. So, we can say, it is fast and easy to do the PSD  to HTML conversion by using software.

There are some disadvantages also with the software using PSD  to CSS/HTML conversion. Many expert believe and found that this conversion is inaccurate somewhere and it can’t come up with readable conversion. Also, due to mechanical conversion, the design is of medium type and customer doesn’t take interest in it.

Conversion by Human Coding
PSD to HTML conversion is a very tiresome task and it requires lots of time with sound knowledge of web designing, skills and experience of PSD to HTML conversion. Professional service provider is expert of doing this task of PSD  to HTML conversion effectively and efficiently for their customer. Biggest advantage of manual coding process is that it is a basis of search engine optimization and the coding is done according to the keywords trapped by search engine. In the human coding process, coding is done manually and this helps in reducing the file size and at the same time increases the readability. As this coding is simple and web designers understand it fully, it is easy to preform further conversions based on this coding like psd to wordpress, psd to joomla etc.

Xhtml.pixelcrayons.com converts your design files from various common image formats (PSD, JPG, GIF, PNG, AI) into best quality cross-browser compatible W3C validated XHTML/CSS markup. Check xhtml.pixelcrayons for our PSD to HTML Conversion and integration such as PSD to drupal, PSD to WordPress etc.

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Marking And Coding Systems

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With an industrial printer for marking and coding, you can apply high-quality alphanumeric codes, logos and graphics to a multitude of surfaces at virtually any line speed, angle, or location on a product or package. Coding and marking printers offered on the market today include large and small character industrial ink jet printers, thermal transfer printers and laser coding systems. All have the ability to produce reliable codes, like addresses, personalized messages, bar codes and serialized numbers, at todays production line speeds.

Large Character Ink Jet Systems & Case Coding Solutions

Two technologies are used for drop on demand printing with large or medium fonts: impulse jet (piezo and bubble jet printing) and valve jet (dot matrix printing). These systems are used primarily for box coding and case coding to provide production information vital for inventory and quality control.

Large character ink jet printers and case coders often feature modular print head systems and simple integration into existing production lines.

Thermal Ink Jet Systems

Thermal ink jet printers mark products and outer packaging directly with variable data such as best-before dates, barcodes, 2D DataMatrix codes, logos and batch numbers. These codes ensure continuous traceability and security against forgery within the food, beverage and pharmaceutical industry as well as in many other lines of industry.

Users of thermal ink jet systems look for a combination of long decap times and short drying times. This makes printing easy on varnish-free surfaces of folded chipboard boxes and other paper substrates. Ideally, a printer will provide high quality print even after long printing breaks.

Laser marking systems

Laser marking systems deliver marking on almost any material and are an excellent choice for box coding and case coding. CO2 lasers are well-suited for marking pharmaceutical boxes, paper, cardboard and carton packages, PET containers, electronic/semiconductor devices, automotive parts and extruded products. These marking systems may use steered beam technology to deliver marking with no degradation of print, even on high volume production lines. Common marks/codes include expiration and manufacture dates, ticket numbers, line codes, ID matrix and bar codes, serial numbers, batch and lot codes, contents and weight specifications.

CO2 technology provides permanent laser coding in a clear and easily legible quality, and ensures a clean working environment.

YAG lasers are also employed to handle marking and coding. With their excellent beam quality, YAG lasers mark on metal, plastic and other hard surfaces.

Fiber lasers are yet another solution for marking and coding. They are mainly used to mark materials in the aerospace, automotive, electronics, medical devices and tools markets.

Videojet Technologies Inc. is a world-leading manufacturer of barcode printers, bottle printer, packaging printer and accessories for the wood printing industry. As experts in continuous ink jet (CIJ), thermal transfer overprinting (TTO), food grade ink, laser technologies & track and trace solutions, Videojet has over 275,000 units installed worldwide. Sales, service, training, administrative and application support is provided by direct operations worldwide, including Austria, Brazil, Canada, Chile, China, France, Germany, India, Ireland, Japa

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Coding standards and guidelines

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Good software development organizations usually develop their own coding standards and guidelines depending on what best suits their organization and the type of products they develop.

The following are some representative coding standards.

Rules for limiting the use of global: These rules list what types of data can be declared global and what cannot.

Contents of the headers preceding codes for different modules: The information contained in the headers of different modules should be standard for an organization. The exact format in which the header information is organized in the header can also be specified. The following are some standard header data:

• Name of the module.

• Date on which the module was created.

• Author’s name.

• Modification history.

• Synopsis of the module.

• Different functions supported, along with their input/output parameters.

• Global variables accessed/modified by the module.

 

Naming conventions for global variables, local variables, and constant identifiers: A possible naming convention can be that global variable names always start with a capital letter, local variable names are made of small letters, and constant names are always capital letters.

Error return conventions and exception handling mechanisms: The way error conditions are reported by different functions in a program are handled should be standard within an organization. For example, different functions while encountering an error condition should either return a 0 or 1 consistently.

The following are some representative coding guidelines recommended by many software development organizations.

Do not use a coding style that is too clever or too difficult to understand: Code should be easy to understand. Many inexperienced engineers actually take pride in writing cryptic and incomprehensible code. Clever coding can obscure meaning of the code and hamper understanding. It also makes maintenance difficult.

Avoid obscure side effects: The side effects of a function call include modification of parameters passed by reference, modification of global variables, and I/O operations. An obscure side effect is one that is not obvious from a casual examination of the code. Obscure side effects make it difficult to understand a piece of code. For example, if a global variable is changed obscurely in a called module or some file I/O is performed which is difficult to infer from the function’s name and header information, it becomes difficult for anybody trying to understand the code.

Do not use an identifier for multiple purposes: Programmers often use the same identifier to denote several temporary entities. For example, some programmers use a temporary loop variable for computing and a storing the final result. The rationale that is usually given by these programmers for such multiple uses of variables is memory efficiency, e.g. three variables use up three memory locations, whereas the same variable used in three different ways uses just one memory location. However, there are several things wrong with this approach and hence should be avoided. Some of the problems caused by use of variables for multiple purposes as follows:

• Each variable should be given a descriptive name indicating its purpose. This is not possible if an identifier is used for multiple purposes. Use of a variable for multiple purposes can lead to confusion and make it difficult for somebody trying to read and understand the code.

 

• Use of variables for multiple purposes usually makes future enhancements more difficult.

 

The code should be well-documented: As a rule of thumb, there must be at least one comment line on the average for every three-source line.

The length of any function should not exceed 10 source lines: A function that is very lengthy is usually very difficult to understand as it probably carries out many different functions. For the same reason, lengthy functions are likely to have disproportionately larger number of bugs.

Do not use goto statements: Use of goto statements makes a program unstructured and makes it very difficult to understand.

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