What if?

kwilliams@halifaxrmc.orgkwilliams@halifaxrmc.org
in CDI Talk Archive
Don't mean to beat a "dead horse", but what if the wording had been gram negative OR gram positive bacterial organism Pneumonia with same scenario.

Just trying to learn folks.

Comments

  • lsipos@monument.healthlsipos@monument.health
    edited April 2016
    It's the "or" and not the "vs" issue I believe! :)

    juli

  • catladyrncatladyrn
    From the Official Coding Guidelines:

    "In those rare instances when two or more contrasting or comparative diagnoses are documented as “either/or” (or similar terminology), they are coded as if the diagnoses were confirmed and the diagnoses are sequenced according to the circumstances of the admission."

    Renee

    Linda Renee Brown, RN, MA, CCDS, CCS, CDIP
    Director, Clinical Documentation
    Tanner Health System
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