Identify and document the number of weeks since the AMI.Here are the details to be included in your documentation. I22.9: Subsequent STEMI unspecified sitĪs you know, ICD-10-CM will increase the level of detail required for MI.Here are the codes for ‘subsequent’ episode of care, which must be reported using any of the codes given above. I21.21: STEMI involving left circumflex coronary artery.I21.19: STEMI involving other coronary artery of inferior wall.I21.11: STEMI involving right coronary artery.I21.09: STEMI involving other coronary artery of anterior wall.I21.02: STEMI involving left anterior descending coronary artery.I21.01: STEMI involving left main coronary artery.The ICD-10-CM codes for MI are as follows: AMI 8 weeks old is called acute in ICD-9, whereas it requires only 4 weeks for ICD-10-CM to consider an AMI acute.Īpart from the initial and subsequent episode and MI type, you should also consider the location of the infarct (anterior, inferior or other) while choosing the relevant ICD-10-CM codes. However, in ICD-10-CM, ‘initial’ indicates a newly diagnosed AMI and ‘subsequent’ indicates a second AMI that occurs while the initial AMI is still considered acute (4 weeks or less). At the same time, ‘subsequent’ indicates an episode of care following the initial episode, when the patient is admitted for further observation, evaluation or treatment for an AMI for which the patient received initial treatment and it is less than 8 weeks old. When the word ‘initial’ is used to describe Acute MIs in ICD-9, it means the ongoing visit is the patient’s first episode of care regardless of the facility site for newly diagnosed AMI. In ICD-9, Acute MI is classified based on the episode of care – initial, subsequent or unspecified. Major Difference between ICD-9 and ICD-10 The possible treatments include medications to protect the heart as well as reduce its workload, one or more anti-clotting medications to prevent blood clots and percutaneous transluminal coronary angioplasty (PTCA) with or without stent placement. NSTEMI involves a small area in the subendocardial wall of the left ventricle, ventricular septum, or papillary muscles, Unlike STEMI, this type of MI does not extend through the thickness of the heart muscles and ECG shows ST depression. Non ST Elevation Myocardial Infarction (NSTEMI): This is also called Subendocardial Acute MI, or a Non Transmural MI, or a Non-Q Wave MI.
ICD 10 CODE FOR CAD ACTIVATOR
The possible treatments for STEMI involves thrombolysis using tissue plasminogen activator (tPA) administered intravenously, percutaneous transluminal coronary angioplasty (PTCA) with or without stent placement and coronary artery bypass graft (CABG). The electrocardiogram (ECG) shows ST elevation and Q waves. It is classified into anterior, posterior, inferior, lateral, and septal.
The implementation will have an impact on how Medical billing and coding companies as well as Cardiology Coding in Medical offices approach their coding. The upcoming ICD-10 implementation will bring significant changes in medical coding for myocardial infarctions. A tear in the plaque triggers blood platelets and other substances to form a clot that blocks the flow of blood to the heart. The most common cause for this heart attack is occlusive intracoronary thrombus, a substance called plaque made up of cholesterol and other cells that build up in the walls of coronary arteries. Myocardial infarction (MI) refers to heart attack, which occurs when a portion of the heart is deprived of oxygen as a result of the blockage of a coronary artery.