Inpatient main diagnosis question

doggieluv

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The scenario is that a patient with recurrent colon cancer is admitted following attempted suicide by ingesting an unknown amount of valium. the following Dxs are stated: depression, Valium poisnoning, Ca colon, & hypotention.
Question: would hypotension be the principal dx? If not would it be Valium poisoning?

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jmcpolin

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I would say the valium poisoning and suicide attempt should be coded first and then the depression, colon cancer and hypotension
 

cordelia

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Per coding guidelines, Poisoning codes are ALWAYS primary, followed by any manefestations.

Cordelia, CCS, CPC
 
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