52534-5
Principal Diagnosis
Discouraged
Form Coding Instructions
Indicate the principal diagnosis for billing purposes. Indicate the ICD-9 CM code. For V-codes, also indicate the medical diagnosis and associated ICD-9 CM code. Be as specific as possible
Source: Centers for Medicare & Medicaid Services46584-9 ICD-9 CM for Principal Diagnosis at Assessment
Term Description
A case mix diagnosis is a primary diagnosis that assigns patients with selected conditions to an orthopedic, diabetes, neurological, or burns/trauma group for Medicare PPS case mix adjustment. A case mix diagnosis may involve manifestation coding.
Observation ID in Form
A1
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Payment diagnosis - primary ICD code
- Property
- Prid
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- OASIS
Long Common Name
Payment diagnosis - primary ICD code [OASIS]
Basic Attributes
- Class
- SURVEY.OASIS
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.54 (MIN)
Normative Answer List LL343-5
- Externally Defined
- Yes
- Code System
- I9C
- Code System OID
- 1.3.6.1.4.1.12009.10.1.2173
- Link to External List
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
Copyright
- Organization
- Center for Health Policy Research, UCHSC, Denver, CO
- Copyright
- Copyright © 2002 Center for Health Services Research, UCHSC, Denver, CO.
- Terms of Use
- Used with permission.
86255-7 Primary diagnosis ICD code
Term Description
The condition that is the chief reason for providing care.
Observation ID in Form
A2
Fully-Specified Name
- Component
- Primary diagnosis ICD code
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- CLIN
- Type
- Clinical
- First Released
- Version 2.63
- Last Updated
- Version 2.73 (MIN)
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 17680
Example Answer List LL4547-7
- Externally Defined
- Yes
- Code System
- Code System OID
- 1.3.6.1.4.1.12009.10.1.3459
- Link to External List
- http://www.cdc.gov/nchs/icd.htm
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
| 46462-8 | Deprecated Outcome and assessment information set (OASIS) form - version B1 |
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57192-7 | Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86244-1 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
| 88369-4 | Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment] |
| 88368-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment] |
| 88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
| 93058-6 | Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment] |
| 99160-4 | Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment] |
| 99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
| 106525-9 | Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment] |
| 106523-4 | Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment] |
| 108292-4 | Outcome and assessment information set (OASIS) form - version E2 - Resumption of Care during assessment period [CMS Assessment] |
| 108291-6 | Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment] |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Κωδικός ICD κύριας διάγνωσης: Synonyms: - CLIN Nom Pt Type Ασθενής Διάγνωση Κωδικός ICD διάγνωσης Κωδικός ICD κύριας διάγνωσης |
| es-MX | Spanish (Mexico) | Código ICD de diagnóstico primario: |
| it-IT | Italian (Italy) | Diagnosi primaria codice ICD: Synonyms: Clinico paziente Punto nel tempo (episodio) |
| zh-CN | Chinese (China) | 主要诊断 ICD 代码: Synonyms: ICD 分类型应答; |
18630-4 Primary Diagnosis at Assessment
Observation ID in Form
A1a
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Diagnosis.primary
- Property
- Imp
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Long Common Name
Primary diagnosis
Basic Attributes
- Class
- ATTACH.REHAB
- Type
- Claims Attachments
- First Released
- Version 1.0l
- Last Updated
- Version 2.70 (MIN)
- Change Reason
- Release 2.70: AnswerListId: Added example answer list;
- Order vs. Observation
- Observation
Example Answer List LL4747-3
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Other | LA46-8 | ||
| Alcoholism | LA20350-7 | ||
| Bleeding disorder | LA20352-3 | ||
| Currently receiving chemotherapy for cancer | LA20353-1 | ||
| Congenital anomalies | LA20354-9 | ||
| Congestive heart failure (CHF) | LA12740-9 | ||
| Current smoker | LA20356-4 | ||
| Chronic renal failure | LA20357-2 | ||
| Cerebrovascular accident | LA22244-0 | ||
| Diabetes mellitus | LA14291-1 | ||
| Disseminated cancer | LA20360-6 | ||
| Advanced directive limiting care | LA20361-4 | ||
| Functionally dependent health status | LA20363-0 | ||
| Hypertension | LA7444-8 | ||
| Prematurity | LA20368-9 | ||
| Chronic obstructive pulmonary disease | LA28200-6 | ||
| Steroid use | LA20370-5 | ||
| Cirrhosis | LA9639-1 | ||
| Dementia | LA20372-1 | ||
| Attention deficit disorder/Attention deficit hyperactivity disorder (ADD/ADHD) | LA28412-7 | ||
| Anticoagulant therapy | LA28199-0 | ||
| Angina pectoris Copyright http://snomed.info/sct ID:194828000 Angina (disorder) | LA14275-4 | ||
| Mental/personality disorder | LA28198-2 | ||
| Myocardial infarction Copyright http://snomed.info/sct ID:22298006 Myocardial infarction (disorder) | LA14274-7 | ||
| Peripheral arterial disease Copyright http://snomed.info/sct ID:399957001 Peripheral arterial occlusive disease (disorder) | LA28197-4 | ||
| Substance abuse disorder Copyright http://snomed.info/sct ID:66214007 Substance abuse (disorder) | LA28195-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
| 97782-7 | Spine Tango Surgery 2017 |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Διάγνωση.κύρια: Synonyms: - ATTACH ATTACH.REHAB Imp Nom Pt Ασθενής Διάγνωση Διάγνωση.κύρια |
| es-AR | Spanish (Argentina) | diagnóstico.primario: |
| it-IT | Italian (Italy) | Diagnosi.primaria: Synonyms: Allegato Allegato riabilitazione Impressione/interpretazione di studio paziente Punto nel tempo (episodio) |
| ru-RU | Russian (Russian Federation) | Диагноз.основной: Synonyms: Впечатление/интерпретация исследования Номинальный; |
| zh-CN | Chinese (China) | 诊断.主要: Synonyms: Health Insurance Portability and Accountability Act of 1996; |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
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29308-4 Diagnosis
Part Descriptions
LP72437-4 Diagnosis
The end result of a diagnostic process that identifies a disease.
Source: Regenstrief LOINC
Observation ID in Form
A2a
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- Diagnosis
- Property
- Imp
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Basic Attributes
- Class
- H&P.PX
- Type
- Clinical
- First Released
- Version 2.03
- Last Updated
- Version 2.73 (MIN)
- Order vs. Observation
- Observation
- Common Test Rank Get Info
- 4809
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 52747-3 | Continuity Assessment Record and Evaluation (CARE) tool - Expired |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
| 74293-2 | Oncology plan of care and summary - recommended CDA set |
| 93149-3 | PhenX - bone age protocol 220301 |
| 62863-6 | PhenX domain - Infectious diseases and immunity |
| 62896-6 | PhenX domain - Skin, bone, muscle and joint |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Διάγνωση: Synonyms: - H& |
| es-AR | Spanish (Argentina) | diagnóstico: |
| es-ES | Spanish (Spain) | Diagnóstico: |
| es-MX | Spanish (Mexico) | Diagnóstico: |
| fr-CA | French (Canada) | Diagnostic: |
| fr-BE | French (Belgium) | Diagnostic: |
| it-IT | Italian (Italy) | Diagnosi: Synonyms: Esame obbiettivo Impressione/interpretazione di studio paziente Punto nel tempo (episodio) |
| pt-BR | Portuguese (Brazil) | Diagnóstico: Synonyms: ; |
| ru-RU | Russian (Russian Federation) | Диагноз: Synonyms: Впечатление/интерпретация исследования Номинальный; |
| uk-UA | Ukrainian (Ukraine) | Діагноз: Synonyms: Dx; |
| zh-CN | Chinese (China) | 诊断: Synonyms: 体格检查小节与指标; |