Q&A: Determining PDX selection

February 2nd, 2021

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a coding Q&A for CDI and inpatient coding professionals about principal diagnosis selection under the ICD-10-CM Official Guidelines for Coding and Reporting. It discusses the general framework used to determine the principal diagnosis, the role of inpatient admission circumstances, and the relationship between coding conventions, official guidelines, and Coding Clinic guidance. The piece is relevant to staff who assign or review inpatient diagnosis sequencing and want a high-level understanding of where the governing rules are found.

Why This Topic Matters

Principal diagnosis selection affects inpatient coding accuracy and sequencing, so understanding the hierarchy of guidance is important for CDI, coding, and compliance workflows.

What You Will Learn

  • Where principal diagnosis selection guidance is found
  • How inpatient admission circumstances factor into diagnosis sequencing
  • How official guidelines relate to coding conventions and other guidance sources
  • What broad considerations apply when more than one condition appears to meet principal diagnosis criteria

Who Should Read This

  • Inpatient coders
  • Clinical documentation integrity professionals
  • Coding educators
  • Coding auditors/reviewers

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