Wiki Coding inpatient discharge summary diagnosis

[lilrascal5]

I have come across many inpatient discharge diagnosis that do not match. For example the discharge diagnosis will Schizophrenia but below that it will have the axis 1 and it will say Paranoid Schizophrenia. I was always taught to go with the "discharge diagnosis" when billing the discharge summary, however the axis 1 was more specific. Are there any rules regarding which one to use for billing the discharge summary?

thanks

Darla