UHDDS / Coding Guidelines for Operations &
Procedures questions with correct answers
Other Diagnoses(cc's) - Correct Answer-"All conditions (recorded to the highest
documented level of specificity) that coexist at the time of admission, develop
subsequently, or affect the treatment received and/or length of stay"
Diagnoses that have no impact on care - Correct Answer-Dx's that have no impact
on patient care during the hospital stay are not reported even when they are
present.
UHDDS" Other diagnosis" (5) - Correct Answer-1. Clinical evaluation
2. Therapeutic treatment
3. Further evaluation by diagnostic studies, procedures or consultation
4. Extended length of hospital stay
5. Increased nursing care and or other monitoring
Admission following medical observation - Correct Answer-Principal dx reported
would be the medical condition that led to the hospital admission.
Admission following postoperative observation - Correct Answer-That condition
established after study to be chiefly responsible
What ever condition that develops postoperative
Admission from outpatient surgery - Correct Answer-1. If the reason for the Inpt.
adm. is a complication assign the complication as the Principle dx.
2.If no complication or other cond is doc, assign the reason for the outpatient
surgery.
