WebThe Principal Diagnosis will not be the same in every situation. Selection of the Principal Diagnosis is dependent on the circumstances of the admission. Coders should ensure that the record contains documentation that indicates clinical credibility to support the presence of that condition. It is also important for coders to understand the ... WebJun 26, 2024 · Based on the circumstances of admission and the existing documentation, the only option for principal diagnosis is UTI. A query related to pulmonary embolism would have been appropriate because the patient had signs and symptoms related to it on admission (dyspnea on exertion, tachycardia, elevated D Dimer) and it was treated …

Why Was The Patient Admitted? - T-Medicus

Webprincipal diagnosis would be aspiration pneumonia and acute respiratory failure. While the patient has a history of COPD, it was not the reason for admission and did not require significant intervention during the hospitalization. The chronic lung disease would be coded as a secondary diagnosis. WebJan 16, 2024 · Depending on the circumstances of the admission, it may be appropriate to sequence either K26.4 or D68.32 as the principal or first listed diagnosis. See Coding Clinic 1Q2016 page 14. A patient is seen for epistaxis due to long term Coumadin therapy. The Coumadin dose is adjusted, nasal packing that was placed in the ER before … high schools dunsborough

Q&A: Determining principal diagnosis selection

WebJan 20, 2024 · Whether or not sepsis or U07.1 is assigned as the principal diagnosis depends on the circumstances of admission and whether sepsis meets the definition of principal diagnosis. For example, if a patient is admitted with pneumonia due to COVID-19 which then progresses to viral sepsis (not present on admission), the principal … WebApr 12, 2024 · 1. Military circumstances related to the deployment or return of a parent/custodian 2. Accompany parent/custodian on an overnight school trip that … WebFeb 13, 2024 · Coding Clinic, First Quarter 2008, p. 18, instructed us that when acute respiratory failure and aspiration or bacterial pneumonia were both present on admission, either could be sequenced as the principal diagnosis if both met the definition of a principal diagnosis. The Guidelines (Section 1.C.10.b.1-3) say that acute respiratory … high schools downtown