Discuss AHIMA RHIA Exam Topic 4 Question 85

When Robert was discharged, his physician listed his diagnoses as congestive heart failure with acute pulmonary edema. You're coding Robert's record and you will code

Athe CHF only.

Bthe edema only.

Cboth the CHF and the edema; sequence the CHF first.

Dboth the CHF and the edema; sequence the edema first.

Suggested Answer: A

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21 comments · newest first

Dudley 2 days ago

Agreed! It reflects the patient's condition accurately.

Rima 7 days ago

So, C is the best choice.

Val 12 days ago

True, CHF leads to the edema.

Dudley 17 days ago

I feel like edema is important too, but CHF is primary.

Rima 23 days ago

Exactly! CHF is the main issue.

Val 28 days ago

Yeah, but CHF should come first, right?

Rima 1 month ago

I think we should code both conditions.

Wynell 1 month ago

Really? I thought edema was more critical in this case!

Chanel 1 month ago

Totally agree, CHF should be prioritized in coding.

Vincent 2 months ago

Wait, why would we code the edema first? That seems off.

Holley 2 months ago

I think it's just the CHF we need to code.

Pok 2 months ago

Gotta code both conditions, CHF first!

Larae 2 months ago

Totally agree, CHF first makes the most sense!

Nu 2 months ago

Wait, why would you code edema first? That seems off.

Trina 2 months ago

CHF and acute pulmonary edema are both important diagnoses.

Blair 3 months ago

I think CHF should be coded first, right?

Beckie 3 months ago

You definitely need to code both conditions.

Charlene 3 months ago

I feel like the edema is a complication of the CHF, so it makes sense to code both and put CHF first, but I’m not completely certain.

Fanny 3 months ago

I’m a bit confused. Is it always the case to code the primary diagnosis first? I feel like I’ve seen it done differently in some examples.

Christa 3 months ago

I remember a practice question where we had to code both a primary condition and a complication. I think CHF should come first here too.

Stefan 4 months ago

I think we should code both conditions since they are related, but I'm not sure about the sequencing.

AHIMA RHIA Exam - Topic 4 Question 85 Discussion