When a patient is admitted to an observation unit for a medical condition that either worsens or does not improve and is subsequently admitted as an inpatient to the same hospital for this same medical condition, the principal diagnosis is the __________.
a. comorbidity that was documented by the attending physician
b. diagnosis that is qualified by words such as possible or probable
c. medical condition that led to the hospital inpatient admission
d. procedure or surgery performed in the hospital observation unit
Question 2
If the principal diagnosis documented at the time of discharge is qualified with words such as probable, suspected, likely, questionable, possible, or still to be ruled out, code the __________.
a. diagnosis as if it existed or was established
b. initial therapeutic approach that corresponds to the diagnosis
c. observation care provided to the hospital inpatient
d. signs or symptoms only, and do not code the qualified diagnosis
Signs and symptoms of a patient with heart failure.
Caring for a patient on isolation precautions
CPT Modifiers Used for Medical Office Services Cont.
Patient health history form Cont.
Reputable Websites for Patient Education Cont.
Prefilled Unit-Dose Systems