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The term “principal diagnosis” is used on inpatient facility claims and “first listed diagnosis” is used on outpatient and professional claims. The term “primary diagnosis” will be used in this document to refer to either.

It should be remembered that, your diagnosis—the disorder you are evaluating and/or treating—is considered the primary diagnosis and should be listed first on the claim form. Other supporting diagnoses are considered secondary and should be listed after your primary diagnosis.

External cause codes are never reported as primary, that is they cannot be assigned as a principal diagnosis. They never reported alone. They can be reported with any condition due to an external cause and are not limited to injuries or poisonings.

What is a primary diagnosis? The primary diagnosis refers to the patient condition that demands the most provider resources during the patient's stay. There is often confusion surrounding primary and principal diagnoses and, consequently, the terms are commonly used interchangeably.

Reminder: ICD-10 general category description codes can never be used as either primary or secondary diagnoses.

For example, a patient might present to the emergency room because he is dehydrated and is admitted for gastroenteritis. Gastroenteritis is the principal diagnosis in this instance. Many people define it as the diagnosis that “bought the bed,” or the diagnosis that led the physician to decide to admit the patient.

Z codes are for use in any healthcare setting. Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232