Match each definition to one of the following items.
-The reason, in the patient's own words, for coming to the hospital
A)Tabular List
B)See also
C)Subterms
D)Discharge summary
E)Coding Clinic
F)ER
G)Differential diagnosis
H)Chief complaint
I)The first basic step in coding the principal diagnosis
J)Nonessential modifiers

Question

Quizplus · Accepted Answer

The chief complaint is the reason for the patient's visit to the hospital.

Answer: D
 The discharge summary is a document that summarizes a patient's hospital stay, including their reason for admission, treatment received, and the results of any diagnostic tests.

Answer: G
 A differential diagnosis is a list of possible conditions or diseases that could be causing a patient's symptoms.

Answer: I
 Determining the principal diagnosis is the first step in coding a patient's medical record.

Answer: J
 Nonessential modifiers are additional terms that provide more detail about a patient's condition but are not necessary for coding purposes.

Note: The other items listed are also related to medical coding and healthcare documentation but do not match the given definitions.

Match Each Definition to One of the Following Items