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Thread Topic: Principal diagnosis
Topic Originator: CoderD
Post Date July 27, 2010 @ 1:45 PM
Principal diagnosis

July 27, 2010 @ 1:45 PM Reply  |  Email Friend   |  |Print  |  Top

If you have a patient who has syncope due to dehydration, and hypoglycemia, what would you code as principal?

July 27, 2010 @ 4:12 PM Reply  |  Email Friend   |  |Print  |  Top

Syncope can describe a sign/symptom of dehydration.  Regarding using signs/symptoms along with definitive diagnosis, I would follow the coding guidelines; see current ICD9 book, Appendix, Coding Guidelines-3, number 7, under Section 1 B. General Coding Gudelines.
Hope this helps.

Dan Young
July 29, 2010 @ 5:02 PM Reply  |  Email Friend   |  |Print  |  Top

The patient came in for a reason.  Was this the first visit?  Was it fatigue, dehydration, passing out, etc.?  

You need to code why the patient came in in the first place.  Subsequent visits then would code for the primary return visit.

August 26, 2010 @ 8:49 AM Reply  |  Email Friend   |  |Print  |  Top

We found more than 50 results for
'syncope due to dehydration, and hypoglycemia'
on Code-Xpert.
You probably should be more specific concerning your search.

Best regards,
Code-XPert DevTeam
ICD 9 cm 2010 and 2011

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