Release Notes:
Data Element
Version 2010A1
| Data Element Name: | ICD-9-CM Principal Diagnosis Code |
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| Collected For: | All Records , Optional for HBIPS-2 and HBIPS-3; Used in algorithm for PC-01, 02, 04, and 05 |
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| Definition: | The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code associated with the diagnosis established after study to be chiefly responsible for occasioning the admission of the patient for this hospitalization. |
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| Suggested Data Collection Question: | What was the ICD-9-CM code selected as the principal diagnosis for this record? |
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| Format: | | Length: | 6 (implied decimal point) |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
Any valid ICD-9-CM diagnosis code |
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| Notes for Abstraction: | The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as “that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.” |
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| Suggested Data Sources: |
- Face sheet
- Discharge summary
- UB-04, Field Location: 67
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
- Refer to Appendix A, for ICD-9-CM Code Tables (AMI, HF, PN, HBIPS).
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- Refer to Appendix A, for ICD-9-CM Code Tables (SCIP).
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ICD-9-CM Principal Diagnosis Code
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
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