Goosie
Contributor
Our ED providers documentation will often have a final diagnosis, but in the ED Course section it will state "suspected".
For example:
ED Course: low blood pressure, fever, altered level of consciousness, fast breathing. IV Meropenem given for suspected sepsis.
Final diagnosis: Sepsis
Our coders are disagreeing whether the final diagnosis of "Sepsis" overrides the "suspected sepsis".
What should the coding be?
Thank you
For example:
ED Course: low blood pressure, fever, altered level of consciousness, fast breathing. IV Meropenem given for suspected sepsis.
Final diagnosis: Sepsis
Our coders are disagreeing whether the final diagnosis of "Sepsis" overrides the "suspected sepsis".
What should the coding be?
Thank you