AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Ask the Editor

Medical Treatment/Stabilization of Severe Malnutrition due to Anorexia Nervosa

A 51-year-old patient with severe protein calorie malnutrition due to extreme anorexia nervosa, binge-eating purging type, is admitted to the hospital for stabilization of her acute medical conditions and weight restoration, before being transferred to a residential treatment program specializing in eating disorders. The provider also documented that the patient’s end stage renal disease, dehydration and kidney stones are complications caused by the anorexia nervosa. Some coding professionals are questioning whether it is appropriate to sequence anorexia nervosa as the principal diagnosis when the admission is for medical stabilization. What is the appropriate principal diagnosis? ...

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