The secondary diagnosis is systemic anaphylaxis.
Recognizing this, the diagnosis-related group (DRG) manually splits certain DRGs based on the presence of secondary diagnoses for specific complications or comorbidities (CC).
For example, more than 25 percent of our clients have mental-emotional disabilities as a primary or secondary diagnosis and often require continuing medication.
Of patients hospitalized for atrial fibrillation, the most common secondary diagnosis was hypertensive heart disease (15%), followed by congestive heart failure (11%).
Even for a suspicious mind like his, the absence of the secondary diagnosis on a couple of charts didn't seem much of an indicator for something being seriously wrong.
Mortality was two to three times higher if atrial fibrillation was a secondary diagnosis.
That is, the case would be paid as though the secondary diagnosis were not present.
He turns some people away, including one man whose apparently fake document showed a secondary diagnosis of an irregular Pap smear.
Patients are classified into groups having the same condition (based on main and secondary diagnosis, procedures, age), complexity (comorbidity) and needs.