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.
â¢ Designate the secondary-site neoplasm as the principal diagnosis when the treatment is directed toward only the secondary (metastatic) neoplasm even though the primary site is still present. â¢ Sequence the malignancy as the principal diagnosis when a patient is admitted for the treatment of anemia associated with a malignancy. Code D63.0, Anemia in neoplastic disease, is assigned as a secondary diagnosis. This guideline is a change from the current ICD-9-CM Official Guidelines for Coding and Reporting.