I work for the home care/pharmacy department of a medical facility. I was asked for coding for a patient who was having bilateral surgical procedures and was going to be receiving lovenox as a prophylaxis. This patient also has the dx of spastic diplegic CP. There is no history of any thrombosis of any kind in this patients history. I also did not see any documentation of any concerning blood work that would point to a concern for a possible blood clot. After going around with multiple nurses regarding this and stating there is no documentation supporting this, I finally responded that I was not going to jeopardize my certification that i worked hard to earn for this. They even went to the point of providing codes that they thought were relevant. I responded that none of the codes provided were supported in any documentation and this was my final response in this discussion. To me, this would be fraud and I do not want to be a part in this. Was I wrong to be upset by this?