<< Click to Display Table of Contents >> Navigation:  Grouper > Diagnosis > Edit

The Edit option allows the POA indicator and/or Rank to be changed on a single diagnosis code.

 

 

Select Web Client > System Menu > Hospital Base Menu > Patient Account # > Medical Records > Grouper > Navigation Panel > Diagnoses

 

Diagnoses - Edit

 

 

Once Edit is selected the Diagnosis Detail screen will display.

 

 

Select Web Client > System Menu > Hospital Base Menu > Patient Account # > Medical Records > Grouper > Diagnosis > Select Code > Edit

 

Diagnosis Detail

 

 

The following information will be displayed:

 

•Description: Displays the diagnosis code description selected from the Diagnoses screen.

 

•ICD-9-CM: Displays the ICD-9-CM code selected from the Diagnoses screen.

 

•ICD-10-CM: Displays the ICD-10-CM code selected from the Diagnoses screen.

 

•SNOMED: Displays the SNOMED code selected from the Diagnoses screen.

 

•MCE's: Displays any applicable Medicare Code Edits.

 

•POA: Indicates whether the condition was present at the time of admission. Select the valid code from the drop down menu. Valid codes are E, N, U, W or Y.  A default value may be set up in the Medical Record Control Record within the Business Office tables. The default options are Yes, No or Blank.

 

•Rank: Determines the order in which diagnosis codes are displayed on the Diagnoses screen. This field defaults to the order in which each code is entered but can be adjusted. The diagnosis ranked as 1 will be considered the Principal Diagnosis and will list as PRIN on the Diagnoses screen.

 

If any changes are made, select Save, then select the Back Arrow to return to the Diagnoses screen.