Reader Question ~ Assign Priority to These Conditions
Published on Mon Oct 09, 2006
Assign Priority to These Conditions
Question: Our physicians are treating a patient's respiratory insufficiency. They think that the patient's COPD affected this condition. Which diagnosis should we code first?
Illinois Subscriber
Answer: Correct coding requires that you list the primary diagnosis first, according to the American Medical Association's guidelines. For instance, the physician's notes say, "acute respiratory insufficiency 518.82 due to an acute exacerbation of chronic obstructive pulmonary disorder (COPD) (491.21)." The physician is primarily treating the acute respiratory insufficiency, and you should list it first.