Chest x-ray performed during the inpatient stay

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A patient admitted with shortness of breath and hemoptysis has a chest x-ray performed during the inpatient stay. This reflects patchy infiltrates in the left lung and the possibility of pneumonia is raised. Later, bronchoscopy with biopsy is performed, revealing small cell carcinoma of the left upper lobe. A metastatic lesion is detected by MRI located in the brain. Given these circumstances, what should the coder report as the Principal Diagnosis?

Reference no: EM133732062

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