Medical Coding Principal Diagnosis

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Q&A: Primary, principal, and secondary diagnoses | ACDIS

https://acdis.org/articles/qa-primary-principal-and-secondary-diagnoses-0

Principal diagnosis is defined as the condition, after study, which occasioned the admission to the hospital, according to the ICD-10-CM Official Guidelines for Coding and Reporting. We must remember that the principal diagnosis is not necessarily what …

Determine the Principal Diagnosis Code in the Inpatient Setting

https://www.aapc.com/blog/45184-determine-the-principal-diagnosis-code-in-the-inpatient-setting/

Be sure you can decipher which diagnosis is principal. Look to Section II for the PDx. Inpatient diagnoses are coded in accordance …

ICD-10-CM Official Guidelines for Coding and …

https://www.cms.gov/files/document/fy-2022-icd-10-cm-coding-guidelines-updated-02012022.pdf

consistent, complete documentation in the medical record cannot be overemphasized.Without such documentation accurate coding cannot be achieved.The …

Which diagnosis is principal? | ACDIS

https://acdis.org/articles/which-diagnosis-principal

Most coders and clinical documentation improvement (CDI) specialists are familiar with the Uniform Hospital Discharge Data Set (UHDDS) definition of principal diagnosis: the …

First Listed or Principal Diagnoses in Medical Coding

https://www.cco.us/first-listed-or-principal-diagnoses-in-medical-coding/

The only option for the principal diagnosis was the UTI: a query related to pulmonary embolism would have been appropriate because the DVT was not …

Selection of Principal Diagnosis - ICD-10 Guidelines

https://icdlist.com/icd-10/guidelines/section-ii-selection-of-principal-diagnosis

The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as "that condition established after study to be chiefly responsible for …

Coding Tip: Coding Diagnoses on Outpatient Encounters

https://hiacode.com/blog/education/coding-diagnoses-on-outpatient-encounters

The provider lists in the final impression or final diagnosis 1). Chest pain; 2). GERD. Since the physician has listed out the symptom of chest pain and has not …

Coding | CMS - Centers for Medicare & Medicaid Services

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding

To group diagnoses into the proper MS-DRG, CMS needs to identify a Present on Admission (POA) Indicator for all diagnoses reported on claims involving inpatient …

Z Codes That May Only be Principal/First-Listed Diagnosis

https://www.findacode.com/articles/z-codes-that-may-only-be-principal-first-listed-diagnosis-33308.html

According to 2018 Guidelines section: 1;C.21.c.16, the following Z codes/categories may only be reported as the principal/first-listed diagnosis, except …

Coding Tip: Inpatient Coding of Probable Diagnoses

https://hiacode.com/blog/education/inpatient-coding-of-probable-diagnoses-2

Comparative/contrasting principal diagnoses This rule did not change with implementation of ICD-10-CM. If two or more contrasting/comparative diagnoses are …

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