In the unusual instance when two or more diagnoses equally meet the criteria for principal diagnosis, any one of the diagnoses may be reported as the principal diagnosis when the __________.
a. circumstances of admission are not completely documented by the attending physician
b. diagnostic work-up and/or therapy provided is not related to the diagnoses documented
c. ICD-10-CM index, tabular list, or coding guidelines do not provide sequencing direction
d. medical necessity of procedures and/or treatment does not support diagnoses documented
Question 2
When two or more interrelated conditions potentially meet the definition of principal diagnosis, either condition may be sequenced first unless __________, therapy provided, or ICD-10-CM Tabular List of Diseases and Injuries or Index to Diseases and Injuries indicate otherwise.
a. circumstances of admission
b. explanation of benefits
c. physician certification
d. submitted claims
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