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I would code the chief complaint

  1. #1
    Location
    Seacoast- Dover New Hampshire
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    605
    Default I would code the chief complaint
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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
    Location
    Albany, New York
    Posts
    456
    Default
    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
    Location
    Albany, New York
    Posts
    456
    Default
    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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