List of All Primary and Other Diseases

List all Primary and Other diseases present and select the most appropriate code. This list should include any diseases

previously noted in Section I. Record the disease diagnosis, the ICD-CM code and the associated disease code.

 

The assessor may need to consult a medical record or medical coding specialist to determine the appropriate ICD-CM code.

Attach additional sheets as necessary for all disease diagnoses.

 

 

Coding:

For all diseases present, select the most appropriate code from those listed below.