AHA Coding Clinic® for ICD-9 - 1989 Second Quarter

Q & A

A patient enters the Emergency Room with complaint of abdominal pain. He is found to have alcohol intoxication and, subsequently, acute pancreatitis. He is treated with nasogastric suction, IV fluids, and pain control for the pancreatitis while he is given multiple vitamins and seizure precautions as treatment for the alcohol intoxication and subsequent withdrawal. Should alcohol intoxication be listed as the principal diagnosis because it is a poisoning, or should the acute manifestation of pancreatitis be listed as the principal diagnosis because it is the condition treated? ...

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