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diagnosis sequencing

  1. #1
    Default diagnosis sequencing
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    What would you suggest? Patient admitted to the inpatient gero-psych unit because the patient was fighting with other residents in the nursing home. When the inpatient doctor sees the patient, he gives a dx of Behavioral Disturbance and Dementia with Lewey Bodies.

    How would you list them? ICD-9 states the dementia has to be 1st and behavioral disturbance is 2nd. But the doctor was actually addressing the behavioral disturbance.

    Any suggestions?

  2. #2
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    because the behavioral disturbance is a manifestation of the dementia you must sequence the dementia first.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    Thanks, that's what we've been doing. Just had to check....

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