Typically, the primary diagnosis and the principal diagnosis are the same diagnosis, but this is not necessarily always so. Principal diagnosis is defined as the condition, after study, which occasioned the admission to the hospital, according to theICD-10-CM Official Guidelines for Coding and Reporting.
UTC -8/-7, UTC -7/-6. Nevada is an arid state of the USA, lying between California and Utah. Most of the state is within the Great Basin, but parts of the northeast drain into the Snake River and the the southern portion is within the Mojave desert and the Colorado river drainage.
The Complex consists of four refuges located in southern Nevada: Ash Meadows, Desert, Moapa and Pahranagat National Wildlife Refuges. Ash Meadows is managed as part of the Desert National Wildlife Refuge Complex. About the NWRS. National Wildlife Refuge System. The National Wildlife Refuge System, within the U.S. Fish and Wildlife Service, manages a national network of lands and waters set aside to conserve America's fish, wildlife, and plants.