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Thread: Which dx should be coded as the primary one?

  1. #1

    Default Which dx should be coded as the primary one?

    AAPC: Back to School
    Benign hypertensive heart disease due to systolic heart failure

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    This would be coded as 402.11 since the physician linked the HTN to the heart disease and that will go first listed, the heart failure then is listed secondary per the instructions in the guidelines as well as the instructional note to "use additional code to specify type of heart failure if known" so for your scenario it would be 428.20

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    i agree with Debra A. Mitchell, MSPH, CPC-H.
    thank you

  4. #4
    Join Date
    Apr 2007
    Columbus GA


    Debra is absolutely correct!

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