What does a diagnosis code mean?
Diagnostic codingDiagnostic coding is the translation of written descriptions of diseases, illnesses and injuries into codes from a particular classification.
In medical classification, diagnosis codes are used as part of the clinical coding process alongside intervention codes..
What does diagnosis mean?
1a : the art or act of identifying a disease from its signs and symptoms. b : the decision reached by diagnosis the doctor’s diagnosis. 2a : investigation or analysis of the cause or nature of a condition, situation, or problem diagnosis of engine trouble.
Do we code differential diagnosis?
Symptom with a differential diagnosis: This rule is for principal diagnosis assignment in the Official Coding Guidelines. If a secondary diagnosis has a confirmed symptom and then a list of possible causes, the coder is to assign the symptom alone.
What does unspecified mean in a diagnosis?
Unspecified Defined According to a presentation by the National Association of Rural Health Clinics (NARHC), unspecified is defined as: Coding that does not fully define important parameters of the patient condition that could otherwise be defined given information available to the observer (clinician) and the coder.
What is considered major diagnostic?
The Major Diagnostic Categories (MDC) are formed by dividing all possible principal diagnoses (from ICD-9-CM) into 25 mutually exclusive diagnosis areas. … The diagnoses in each MDC correspond to a single organ system or cause and, in general, are associated with a particular medical specialty.
How do you code a medical diagnosis?
Diagnosis CodingSelect the diagnosis code with the highest number of digits available to describe the patient’s condition. … Do not add zeros after the decimal to artificially create up to the fifth or seventh digit. … List a secondary diagnosis only when it has a bearing on the patient’s current medical condition and treatment.More items…