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Can the principal diagnosis and secondary diagnosis be the same?
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Can the primary diagnosis and principal diagnosis be the same?
no
What is the medical term meaning procedure performed for definitive treatment of the principal diagnosis?
The procedure performed for definitive treatment of the principal diagnosis is called the _____________ procedure
What is a secondary opinion?
Secondary - derived from the primary Opinion - a conclusion held with confidence but without definitive proof A secondary opinion is an opinion from a secondary source after an opinion has already been given by the primary source. The secondary opinion may agree with or be in disagreeance with the primary opinion. For example, some people may visit their doctor and not be confident with his diagnosis of their symptoms, so they visit a second doctor, describing the same symptoms from the primary diagnosis, to get a secondary opinion.
Is swelling of limb be used as principal diagnosis in insurance?
Swelling of limbs of one of the symptoms not the principal diagnosis in insurance. It various from one disease to other and empanelled Medical Persons diagnose the principal reason for illness/disease, considering the gravity of the situation.
Apply the ICD-10-CM Official Guidelines for Coding and Reporting of thePrincipal Diagnosis for Inpatient Care (Guidelines II A-J) to identify the principal diagnosis in the following scenarios?
For this diagnosis-N-10.0 Pyelonephritis acute Secondary diagnosis- N-17.9 failure renal acute Z87.442 History, personal, calculi, renal Principal Procedure: Urinary catheterization OT9B70Z
Which pps provides a predetermined payment that depends on the principal diagnosis?
IPPS
What is a principal diagnosis?
The Principal Diagnosis is defined as the condition established after study to be chiefly responsible for admission of the patient to the hospital.In the reimbursement of hospitals by insurance companies and Medicare, the amount of contracted payments are sometimes determined using a reimbursement scheme called DRG payments. A DRG (Diagnosis Related Group) is a grouping of all the conditions that were treated while a person was hospitalized along with any surgeries they may have had. This is grouped using standardized diagnosis and procedure codes (called ICD-9-CM, which stands for International Classification of Diseases, ninth revision, Clinical Modification).One of the most important parts of the DRG classification and assignment is the Principal Diagnosis, since the DRG grouping (and therefore the payment) is primarily determined by that diagnosis that was the reason the patient went into the hospital. There are very specific guidelines on how that diagnosis is determined to be the principal one based upon the doctor's documentation in the medical record.Here is a simple example of a Principal Diagnosisselection:A woman is taken to the emergency room for very severe abdominal pain with nausea and vomiting. She is admitted to the hospital to determine the cause of the symptoms and for treatment. They do studies and find that she has gallstones. She has surgery to remove the gallstones. After the surgery she recovers and is sent home. By the definition above, the Principal Diagnosis in her case is going to be Cholelithiasis (gallstones) since, after study and after surgery, her abdominal pain, nausea and vomiting were determined to have been due to the gallstones.So, although she had initial symptoms of nausea and vomiting and abdominal pain, none of them are the Principal Diagnosis. They would be considered the Admitting Diagnoses. After study it was determined that the condition that made her sick and caused her to need to be in the hospital was the gallstones.To take the example one step further, if after she had the surgery, she was unfortunate enough to have a heart attack while in the hospital, even though it is a more serious condition and it causes her to stay much longer in the hospital, her insurance payment will still be based on the DRG related to the Principal Diagnosis of gallstones since it was what initially got her admitted. The heart attack would be a Secondary Diagnosisand it would affect a higher payment.But the Principal Diagnosis doesn't get changed from the condition that, after study, was determined to have caused her to go into the hospital in the first place (gallstones). In some cases, the heart attack would be called a Primary Diagnosissince it was the most serious and resource intensive condition. However, the Principal Diagnosis doesn't change even if there is a Secondary Diagnosis added that is considered a more serious Primary Diagnosis.
Can an E code be the principal diagnosis code?
No; an E code can never be used as a principal diagnosis code, because E codes are supplementary classification codes that describe causes of injury, poisoning, or other adverse reactions affecting a patient's health.
Who is the principal of queens gateway to health science secondary school?
Judy, Henry
What is a principal procedure?
A principal procedure is one that was performed for definitive treatment rather than for diagnosis or exploratory purposes, or one necessary to take care of a complication.
What are the Nursing diagnosis of ectopic pregnancy?
The primary nursing diagnosis is "fluid volume deficit"because of the hemorrage. The secondary nursing diagnosis could be- "pain, anxiety or anticipatory grieving at the loss of the fetus".
Name the seven variables that affect medicare reimbursememt under the DRG system?
Principal diagnosis: The main reason for the patient's hospitalization. Secondary diagnoses: Other medical conditions and complications that the patient may have. Procedures performed: Surgical procedures and other therapeutic interventions. Patient's age: Age of the patient at the time of admission. Patient's sex: Gender of the patient. Presence of complications or comorbidities: Additional medical conditions or complications that may affect the patient's treatment. Discharge status: The destination or outcome of the patient's hospital stay, such as discharged to home or transferred to another facility.
