A remote, resolved condition appears on an old problem list but was not evaluated, treated, or monitored during the current inpatient stay. How should it affect CC/MCC capture?
Select an answer to reveal the explanation.
Short Explanation
Old news that nobody touched this admission is not a free CC. Secondaries need to matter this stay—evaluated, treated, monitored, that sort of thing. Dusty history alone usually stays off the claim.
Full Explanation
Secondary diagnoses reported for the inpatient encounter should meet reporting criteria such as being evaluated, treated, monitored, or otherwise requiring increased nursing care or clinical evaluation during the stay. A resolved historical condition that was not addressed this encounter typically does not qualify and should not be counted toward CC/MCC capture for the current MS-DRG.