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When "coding convention" doesn't match primary diagnosis

  • 1.  When "coding convention" doesn't match primary diagnosis

    This message was posted by a user wishing to remain anonymous
    Posted 02-11-2026 03:19 PM
    This message was posted by a user wishing to remain anonymous

    What do you do when "coding convention" results in a CTI/POC displaying a "primary diagnosis" that is not the hospice primary diagnosis? ie. they are admitted for heart failure, but coded for hypertensive heart disease or another example, admitted for CVD and they insist on coding Alzheimer's as the primary despite it not being a terminal condition. Our associate physician has become upset recently as records are not being coded from the diagnoses in his narrative, rather every diagnosis in the history. 



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