What is the definition of principal diagnosis quizlet?

What is the definition of principal diagnosis quizlet?

a principal diagnosis is the condition “established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care” Selecting the principal diagnosis. depends on the circumstances of the admission, or why the patient was admitted.

What are the principal diagnosis?

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. Many people define it as the diagnosis that “bought the bed,” or the diagnosis that led the physician to decide to admit the patient.

What is an example of a principal diagnosis?

The principal diagnosis is not necessarily what brought the patient to the ER, but rather, what occasioned the admission. For example, a patient might present to the ER because he is dehydrated and is admitted for gastroenteritis. Gastroenteritis is the principal diagnosis in this instance.

What is the difference between primary and principal diagnosis?

The primary diagnosis refers to the patient condition that demands the most provider resources during the patient’s stay. While a principal diagnosis is the underlying cause of patient symptoms, the primary diagnosis is used for healthcare billing purposes.

What do you choose for the principal diagnosis when the original treatment plan is not carried out?

All the contrasting/comparative diagnoses should be coded as additional diagnoses. ORIGINAL TREATMENT PLAN “NOT” CARRIED OUT. When the admission is for treatment of a complication resulting from surgery or other medical care, the complication code is sequenced as the principal diagnosis.

What is principal procedure?

The principal procedure is one that is performed for definitive treatment rather than one performed for diagnostic or exploratory purposes, or was necessary to take care of a complication.

Why is the principal diagnosis so important?

The selection of the principal diagnosis is one of the most important steps when coding an inpatient record. The diagnosis reflects the reason the patient sought medical care, and the principal diagnosis can drive reimbursement.

Can you have two principal diagnosis?

Principal diagnosis is that diagnosis after study that occasioned the admission. Often the two are one of the same, but not always.

Is the primary diagnosis the same as the principal diagnosis?

Typically, the primary diagnosis and the principal diagnosis are the same diagnosis, but this is not necessarily always so. 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.

How is the principal diagnosis defined in the uhdds?

The circumstances of inpatient admission always govern the 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 occasioning the admission of the patient to the hospital for care.”.

When to assign an inpatient as a principal diagnosis?

If no complication, or other condition, is documented as the reason for the inpatient admission, assign the reason for the outpatient surgery as the principal diagnosis. If the reason for the inpatient admission is another condition unrelated to the surgery, assign the unrelated condition as the principal diagnosis.

Which is the principal diagnosis in the ER?

Some important guidelines to consider include the following: The principal diagnosis is not necessarily what brought the patient to the ER, but rather, what occasioned the admission. For example, a patient might present to the ER because he is dehydrated and is admitted for gastroenteritis.