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Urgent:"Primary Diag" question

  1. Default Urgent:"Primary Diag" question
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    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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