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Urgent:"Primary Diag" question

  1. Default Urgent:"Primary Diag" question
    Medical Coding Books
    Pt presents to ER following attempted suicide via Valium ODand experiencing severe hypotension from the overdose (pt tried suicide due to depression from colon cancer diag)

    I say the primary diag is the Valium poisoning but a colleague believes it is the hypotension. (of course there's the depression & cancer also!)

    What should the PRIMARY diag be?



  2. #2

    You are correct.

    When coding for poisoning, the poisoning code is sequenced first, followed by a code for the manifestation- as documented in the ICD coding guidelines. In this case Valium OD is sequenced followed by hypotension, a manifestation of Valium poisoning.

    Thank You,

    Purnima S, CPC

  3. Default Thanks!
    Ty!!!!!!! :-) :-)

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