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Thread: diagnosis sequencing

  1. #1
    Join Date
    Apr 2007

    Default diagnosis sequencing

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Columbia, MO


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

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007


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

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