Principal Diagnosis In Psychiatric Nursing

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The definition of the principal diagnosis as defined in the uniform hospital discharge data set that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospice for care and also the definition of principal diagnosis applies only to impatient in acute short term long term care and psychiatric hospitals. Codes for symptoms signs and ill defined conditions the circumstances of impatient admissions always govern the selection of principal diagnosis.

When a patient receives surgery in the hospitals outpatient surgery department and is subsequently admitted for continuing impatient care at the same hospital the following guidelines should be followed in selecting the principal diagnosis for the
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Outpatient diagnoses have been approved for use by hospitals and providers in coding and reporting hospital based outpatient services and provider based office visits.if signs and symptoms are a given part of a primary diagnosis they should not be coded in impatient settings however additional signs and symptoms may be coded when present if a definitive diagnosis is not

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