Results 1 to 2 of 2

Dx sequence help

  1. Default Dx sequence help
    Medical Coding Books
    Hello everyone,

    Can someone help with the following scenario:

    A consult was called because the patient has a past history of pulmonary embolism (1985 and 1991) The patient was admitted for having GI bleed. The patient was found to have a HX of PE, the ER put a consult order in for HX of PE.
    In the consult impression, the doctor list the following DX's:
    HX of PE v12.51
    palpitations 785.1
    GI bleed 578.9
    obesity 278.00

    In the recommendations everthing is geard towards treating the HX of PE, including medicatons.
    I checked if that particulr V code can be used first, and in the ICD-9 it states it can be used 1st or 2nd. There is no clear indication to me if the GI bleed is relative to the HX of PE. The doctor listed the HX of PE ist and the GI bleed as 3rd. I usually don't go by the doctor's sequence, but it appear his sequence is correct based on the documentation given.

    I just want to know should I use the vcode first and the GI 2nd, or the GI first?

  2. #2
    If the admitting complaint was GI bleed, I would want to have that as the primary dx. Although different body systems are referenced, it may indeed be related to the HX of PE as both involve circulatory issues.

Similar Threads

  1. Diabetes sequence?
    By NJcoder in forum Diagnosis Coding
    Replies: 4
    Last Post: 09-05-2013, 01:05 PM
  2. DX code sequence
    By Lizz B in forum Emergency Department
    Replies: 7
    Last Post: 04-17-2012, 08:20 PM
  3. sequence
    By sbarrila in forum Diagnosis Coding
    Replies: 1
    Last Post: 03-31-2011, 12:14 AM
  4. LAMINECTOMY... L2-L3? Sequence?
    By lidad99 in forum Orthopaedics
    Replies: 3
    Last Post: 03-15-2010, 11:30 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.