Diagnosis Select

Diagnosis

Primary?

Yes No

Secondary?

Yes No

Onset or Exacerbation

(O) (E)

*SEVERITY KEY

0 - Asymptomatic, no treatment needed

1 - Symptoms well controlled

2 - Symptoms controlled with difficulty

3 - Symptoms poorly controlled

4 - history of rehospitalizations

Severity level?

0 1 2 3 4

Add Case Mix For ICD10 Z-Code

Add Manifestation For ICD10 Z-Code

If this is a ICD10 Z-Code, and you want to add a case mix diagnosis, click "add case mix..."now to include that data. Click "add manifestation" to add a manifestation code.