When the admission is for managing anemia from chemotherapy administration, which code should be sequenced first?

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When coding for an admission specifically related to managing anemia that has developed as a result of chemotherapy administration, the primary focus should be on the condition that is the primary reason for the admission. In this case, the anemia is what prompted the patient to be admitted to the hospital for treatment.

By sequencing the anemia code first, it accurately reflects the primary clinical issue being addressed during the admission. This is essential for proper coding practices as it ensures that the main reason for the hospital stay is highlighted in the medical record, which is critical for reimbursement and reflecting the patient's health status.

Other potential codes, such as those for chemotherapy complications, neoplasm, or adverse effects of chemotherapy, while important in the overall patient scenario, are secondary when the main objective of the hospitalization is to treat anemia. Therefore, placing the anemia code upfront aligns with the guidelines that prioritize the principal diagnosis causing the admission.

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