Hello Coders,
I confused myself and am in need of some clarification, please.
Coding for ER. My scenario simply states patient admitted to ER for chest pain, rule out MI. After series of tests, the patient was discharged with Atypical chest pain, CAD, HTN, HX of MI, and DM. Because this is not inpatient, my understanding is there would not be a Principal DX (as this is DX chiefly responsible for admission). I think the Primary DX would be the atypical chest pain (more specific than chest pain)
I would code
786.59 Atypical CP
414.01 CAD (no mention of bypass)
401.9 HTN
412 Old MI
250.00
I appreciate any feedback as I am confused why they are asking for Principal and primary and secondary diagnoses.
Elizabeth CPC
I confused myself and am in need of some clarification, please.
Coding for ER. My scenario simply states patient admitted to ER for chest pain, rule out MI. After series of tests, the patient was discharged with Atypical chest pain, CAD, HTN, HX of MI, and DM. Because this is not inpatient, my understanding is there would not be a Principal DX (as this is DX chiefly responsible for admission). I think the Primary DX would be the atypical chest pain (more specific than chest pain)
I would code
786.59 Atypical CP
414.01 CAD (no mention of bypass)
401.9 HTN
412 Old MI
250.00
I appreciate any feedback as I am confused why they are asking for Principal and primary and secondary diagnoses.
Elizabeth CPC