Shade Posted Tue 07th of October, 2014 09:52:19 AM
if a pt has chronic disease like hypothyroidism,hyerlipidemia and psoriasis and the patient came in for fatigue and malaise, can i code the fatigue first as the pdx or the chronic dx which causes the fatigue. please clarified this with your expertise to confirm what i have in mind concerning this. Thank you.
SuperCoder Answered Tue 07th of October, 2014 15:00:45 PM
Thanks for your question. In a case where a patient is presenting with symptoms but a definitive diagnosis has not yet been provided you would use the symptoms as the primary diagnosis. If the patient has a chronic condition and the symptoms are not related to the chronic condition you would still code the symptoms first. Always check chapter specific guidelines as well. You can see additional information on sequencing of diagnosis codes in the ICD-9-CM guidelines in the front of your code book. Hope this helps.