Coder received the hospital record to review and code

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The coder received the hospital record to review and code. After reviewing the circumstance for admission (car accident), diagnostic workup (x-rays), and/or therapy provided (pain medication and anti-inflammatory medication), the patient has three diagnoses that equally meet the criteria for principal diagnosis: Fractured arm, fractured leg, and fractured ankle. On second review of the guidelines in the alphabetic index and tabular list, there is no specific guidance for sequencing. What will the coder do in choosing the principal diagnosis? What guideline did you reference for assistance?

Reference no: EM133644297

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