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Thread: admitting diagnosis

  1. #1
    Join Date
    Apr 2007
    Location
    Seacoast- Dover New Hampshire
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    604

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    I would code the chief complaint, then the MD findings. Any one else?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  2. #2
    Join Date
    Apr 2007
    Location
    Albany, New York
    Posts
    456

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    If the COPD is determined to be the reason for the shortness of breath, I would code the COPD as the principal. If you need an "admitting" diagnosis" on your ED case, then use the shortness of breath. My experience been that only Inpatient cases require an admitting diagnosis.
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Join Date
    Apr 2007
    Location
    Albany, New York
    Posts
    456

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    In reviewing your question........as for the hospital admission, your admitting/ principal dx would be the COPD.
    Karen Maloney, CPC
    Data Quality Specialist

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