Wiki What order should these codes be in. help

insight

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If a patient has
allergic rhinitis that causes chronic rhinitis that causes Migraines.
She also has a family history of migraines and scoliosis.

Thank you!
 
Is the patient being seen at this encounter for the rhinitis or the migraines?

The first listed diagnosis code is the reason for the encounter/visit shown in the medical record to be chiefly responsible for the services provided. So, if the patient came in for the rhinitis you would code that first (either J30.9 or J31.0 but not both because there are Excludes1 for this combination) followed by the migraine G43.909. If the patient came in for the migraine then you would sequence that first.

If both conditions carry the same "weight" in the medical record documentation then either one could be sequenced first.
 
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