HCPro, JustCoding Inpatient - 2020 Issue 17 (May)
Q&A: Principal diagnosis selection for gram-negative pneumonia
May 12th, 2020
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Article Overview
This article discusses a common inpatient coding and CDI question involving principal diagnosis selection when pneumonia and acute respiratory failure are documented together. It explains the issue in the context of ICD-10-CM official guidance and Coding Clinic discussion, and it is aimed at coders, CDI specialists, and other hospital coding professionals who need to understand how sequencing guidance is applied in this type of encounter.
Why This Topic Matters
Principal diagnosis sequencing can affect record interpretation, CDI review, and inpatient reporting consistency. This article helps readers understand the general guidance sources involved and why the circumstance of admission matters in these cases.
What You Will Learn
- How principal diagnosis sequencing is discussed when pneumonia and acute respiratory failure are both present
- How official coding guidance and Coding Clinic commentary are used in inpatient sequencing discussions
- Why the circumstances of admission matter in determining sequencing
- Why documentation review and provider clarification may be needed in some cases
- How CDI and coding professionals may approach this type of question
Who Should Read This
- Hospital coders
- CDI specialists
- Coding educators
- Inpatient coding reviewers
- Revenue integrity professionals
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