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Wiki LTCH coding (Long term care)

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samsniz

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So I am new to Long term care coding, and having a hard time understanding the sequencing of dx's. As I know you always code the reason for admit first, but very confused is it the accidental overdose or the acute on chronic respiratory failure

This is one I am working now,

Patient admits to the STCH with acute respiratory failure due to an accidental drug overdose. The patient transfers to the LTCH for continued treatment of acute on chronic respiratory failure.


Thanks for any help given!
 
Agreed with the above comment. Your LTACH is following and treating the patient for the Acute on Chronic Respiratory Failure and not for the treatment of the overdose. The failure will go first and support the DRG as well as treatment provided throughout the stay.
 
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