A: Someone with consistently high protein in the urine may have kidney disease, but other causes could include a buildup of abnormal proteins in the organs called amyloidosis, diabetes, hypertension, Hodgkin's disease or sickle cell anemia, states Mayo Clinic. High protein may also result from leukemia, lupus, heart disease or pregnancy.
The circumstances of inpatient admission always govern the selection of principal diagnosis. The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as âthat condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.â.
January 4, 2013 3:40 PM â¢ Coding and Billing â¢ No Comments. In the fourth quarter AHA Coding Clinic for ICD-9-CM the reporting of the principal procedure is clarified. Prior to this coding clinic the definition of the principal procedure was ambiguous and open to interpretation. The reason why this is important is because the assignment of the correct principal procedure can affect the DRG that is assigned. This in turn can affect the reimbursement that is provided. This coding clinic provides the following four instructions for the selection of the principal procedure. 1  Procedure performed for definitive treatment of both principal diagnosis and secondary diagnosis. 2  Sequence procedure performed for definitive treatment most related to principal diagnosis as principal procedure.