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If a causal condition is known, then the code for that condition should be sequenced as the principal or first-listed diagnosis. Multiple codes may be needed for sequela, complication codes and obstetric codes to more fully describe a condition.
The coding guidelines require that there is order in the sequencing of multiple codes based on the severity of illness (SOI) and the resources utilized in its care.
The reason for the coding guidelines with regard to sequencing multiple codes is to ensure that the highest level of reimbursement is given. Usually, multiple codes are sequels, complication codes, and obstetric codes issued to help more fully describe a condition.
Thus, the coding guidelines uses the sequencing of multiple codes to take the complications of care into consideration.
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