tci ED Coding & Reimbursement Alert - 2013 Issue 10

Reader Question: Which One is Chief? Is More than One Chief Complaint Allowed?

Question: A patient comes into the ED suffering a panic attack, with complaints of chest pain and wheezing. Do I need to choose one of these symptoms as the chief complaint, or can you have multiple chief complaints? Idaho Subscriber Answer: Chief complaint is typically defined as a concise statement in the notes that describes the patient’s problem, condition, diagnosis, or other factor that is the reason for the visit. This can be one or more symptoms that prompt the patient’s ED presentation, and can include: illness injury psychiatric conditions normal bodily process that the patient perceives...

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