Release Notes:
Data Element
Version 2018B1
| Name: | Admitting Diagnosis |
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| Collected For: |
CSTK-04 |
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| Definition: | The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code associated with the diagnosis established at the time of the patient's admission to the hospital. |
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| Question: | What was the ICD-10-CM diagnosis code selected as the admitting diagnosis for this record? |
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| Format: |
| Length: | 3-7 (without decimal point or dot; upper or lower case) |
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| Type: | Character |
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| Occurs: | 1 |
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|
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| Allowable Values: |
Any valid diagnosis code as per the CMS ICD-10-CM master code table (Code Descriptions in Tabular Order): https://www.cms.gov/Medicare/Coding/ICD10/index.html |
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| Notes for Abstraction: | The admitting diagnosis is defined as the initial working diagnosis documented by the patient's admitting or attending physician who determined that inpatient care was necessary. |
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| Suggested Data Sources: |
- Face sheet
- Admission form
- Code List
- Problem List
|
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| Additional Notes: |
|
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| Guidelines for Abstraction: |
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| Inclusion |
Exclusion |
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None
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None |
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