14. Medical Coding - Admitting Diagnosis

[@mariacastillo3090]

I'm 51 y/o and have not been to school in years because I've been so afraid that the theory would not sink in. You've changed my mind. I'm sooo taking this course and I promise that I will be one of the best coders wherever I go thanks to you!

[@rhizalightner3589]

I love how clear, precise & detail you are on how you break it down by example and summary at the end of each video sessions. THANK YOU!

[@jenae2486]

Based off of your systematic process and information on coding I'll sign up. Thank you for all of your perfessional expertise, definitely, Amazing and Awsome.

[@codemastercoach6636]

Thank you Jenelle Bombshell.

[@ericacook2500]

I love how your videos are broken down into digestible pieces that are clear and concise. I don't think I've seen a single video that goes on for over half an hour. You get in there, get to the point, explain what needs to be explained, break down what needs to be broken down, and you don't drone on. I really appreciate your taking time out of your day over the past nearly six years to upload educational content like this. I bet there are people who have gone on to earn their certifications and hold steady employment in the coding field because of these videos. Thank you so much!

[@codemastercoach6636]

Thank you Erica Cook.

[@sheetalkumar9714]

dear mam u r awesome. u cant imagine how u have made medical coding so easy for me, u r truely a blessing, i love ur videos, thanks a lot

[@nathynguyen]

I was really struggling with this concept, but you made it so easy to understand. Thank you for your expertise!! Amazing teaching.

[@codemastercoach6636]

Thank you N Nn.

[@twilaklense5202]

This has helped me sort the different diagnosis out. Thank you so much Coach. You are a blessing

[@jillzee00]

These videos have helped so much. I now have a very clear vision of the meanings of the different types of diagnoses and how they are found/used. Thank you.

[@codemastercoach6636]

Your welcome jillzee00.

[@1980Aabb]

Thanks for this, you are an amazing professor!!!!

[@codemastercoach6636]

Thank you.

[@isisesetamun80]

3rd video and I've subscribed. So lucky and thankful to have found your channel.

[@codemastercoach6636]

Thanks Candace Shaffer. Welcome Aboard!

[@helenabera6255]

Thank you so much. It is Awesome.

[@pamelamartin3513]

You are awesome!

[@cassicastillo8833]

Thank you so much for these videos! I am taking the CCA exam in a few weeks.. Could you please make a few videos explaining the basics of reimbursement??

[@subashbhaskaran377]

Amazing...

[@codemastercoach6636]

Thank you Subash Bhaskaran.

[@kellybaber9543]

Thank you for posting these videos, I'm studying for my HIT online and it has been a hard journey. Mainly because professors are hands off compared to regular classes. I get tons of info that is very overwhelming to understand & remember. This helps a lot!!!

[@codemastercoach6636]

Thank you Kelly. Glad to know I am helping you toward that. Good luck!

[@sara2307ful]

Thank you code master coach.

[@codemastercoach6636]

Your welcome Sara.

[@DirtyRobb9912]

What resource are you using for definitions such as "admitting diagnosis"? I am just wondering if I have that resource or a similar one. Thank You.

[@teionjohnson1123]

So can you use a previous diagnosis as the admitting diagnosis? If a pt came in with a complaint of pain, but last week came in with that same complaint, had a test done and was diagnosed and treated, but the condition got worse. Can I use that diagnosis from last week as my admitting diagnosis?

[@codemastercoach6636]

Yes, if it is the reason for the admission. In this case, patient came in with "Pain". So, the admitting diagnoses is "Pain" unless the physician states something different. We cannot assume.

[@TheKnaw]

Thanks a lot for this lecture. From this, I assume that a lab work is not a study ? Admitting Diagnosis example is a lab work @ 2:27 [ Admitting Diagnosis example is hand injury @ 2:43 ] [ Admitting Diagnosis is not actually an illness or an injury @ 3:28 ] I kind of got confused, but from your former lecture, I understand Principal diagnosis has to be established only after study. So, admitting diagnosis could be a symptom ? initial complaint before study is done ? I thought lab work is a study, contrary to 2:27 Please, can you straighten me up ? Thanks a lot

[@codemastercoach6636]

Esther, the admitting diagnosis can be lab work. Because of the lab work you needed further studies. The hand injury brought you in as the admitting diagnosis and the x-ray proved the fracture. So, the after study is the principal diagnosis but the admitting brought you in. In some cases, the admitting can be the principal too. Hope this helps.

[@TheKnaw]

Yes, it helps. Thanks a lot for the clarification.

[@maricatoaisi5322]

so when you code them in the encounter forms , do you code them as follows if need be: Principal, Admitting and Other Dx? Or do you only code one of the three depending on what you are seen for? Ty. Amelia

[@codemastercoach6636]

Marica Toaisi, the Admitting, Principal and then other. This will capture what patient is seen for.

[@thipham3179]

I wondered like some symptoms of a disease are an integral part of that disease, and a patient is admitted into the hospital because of that symptom. Do I code it as admitting diagnosis or not? Also, could principal diagnosis and admitting diagnosis be the same? Thank you so much.

[@codemastercoach6636]

Great question Thi Pham. If the symptom leads to a definitive diagnosis, then the diagnosis is assigned instead of the symptom code. Yes, the admitting diagnosis and the principal diagnosis can be the same.

[@nkechiodukwe492]

got you

[@brendawhiteside4779]

yes

[@codemastercoach6636]

Yes, yes Brenda Whiteside.

[@julieallen5552]

I hope you can answer this. An inpatient diagnosis for Vertebral artery dissection, I put code i77.74 and it came back wrong.

[@julieallen5552]

I put this as Principal diagnosis

[@wileyann9449]

So admitting diagnosis is the chief complaint?

[@codemastercoach6636]

Yes Wiley Ann. That is correct.

[@leubic]

👍

[@codemastercoach6636]

Thanks Leovic Rapirap.

[@nkechiodukwe492]

so admitting and chief complaint are the same?

[@codemastercoach6636]

Usually, yes. However, the patient may have a chief complaint of headache and the physician may state admitting diagnosis of hypertension. The hypertension is causing the headache. But usually, yes.

[@melissawells4330]

CodeMaster Coach So because the physician noted that the chief complaint is hypertension and not headache then the admitting diagnosis would be hypertension? Because of the physician's documentation?

[@codemastercoach6636]

No. The patient identifies their chief complaint not the physician. But the physician, based on the patients chief complaint, identifies the admitting diagnosis. Does that clarify for you?