What should be coded first when managing a complication associated with a neoplasm?

When managing a complication associated with a neoplasm, it is essential to code the complication first. This approach ensures that the significant clinical issue facing the patient is highlighted in the medical record and billing process. The complication often requires immediate attention and clinical management, and coding it first reflects its priority in the treatment provided.

Proper coding practice dictates that complications stemming from a neoplasm, such as infections or ulcerations, should take precedence because they represent the current health threat and the reason for the patient’s encounter. Following this, the neoplasm can be coded to acknowledge its presence and establish the context of the complication, but the complication itself is the more critical focus for treatment and resource allocation in the healthcare setting.