She is also a member of the American Health Information Management Association (AHIMA) and has previously served as the Co-chair for AHIMA's Leadership Team. Susie has previously served as the President of the Alabama Association of Health Information Management (AAHIM) on the Board of Directors and currently serves as the Education/Coding Roundtable Chair. She also worked for Alabama Quality Assurance Foundation (AQAF) as a coding reviewer/auditor before joining the team at Medical Management Plus, Inc. Susie has worked in the coding field for over 30 years and has worked as a coder, coding supervisor, and corporate coding manager for a large multi-facility system in Birmingham. Susie James, RHIT, CCS, is the Manager of Inpatient Coding Services at MMP, Inc. I hope this article has been beneficial in helping you become more familiar with cardiac diagnoses and conditions in ICD-10-CM. Please refer to the our article, ICD-10-CM Diseases of the Circulatory System, describing specific coding guidelines for cardiac diagnoses and conditions. Oblique marginal coronary artery (I21.21) Left anterior descending coronary artery (I21.02) For example, per the alpha index:Ĭoronary artery of anterior wall NEC (I21.09)Ĭoronary artery of inferior wall NEC (I21.19) NOTE FROM AUTHOR For Acute MIs, we can now identify the specific coronary artery impacted. If STEMI converts to NSTEMI due to thrombolytic therapy, it is still coded as STEMI. If NSTEMI evolves to STEMI, assign the STEMI code. Posterior (I21.29) (posterobasal) (posterolateral) (posteroseptal) (true) I21.29) Inferoposterior Transmural (Q wave) (I21.11) Inferior (I21.09) (diaphragmatic) (inferolateral) (inferoposterior) (wall) NEC (I21.19) Most MIs are considered to be ST-Elevation (STEMI) unless stated as Non-ST Elevation (NSTEMI) or Subendocardial.Īnterior (anteroapical) (anterolateral) (anteroseptal) (Q wave) (wall) (I21.09) The timeframe (stated duration of the MI) has decreased in I-10 to 4 weeks from 8 weeks in I-9.For the episode of care in I-10, MIs are identified as either Acute (I21.xx) or Subsequent (I22.xx).Infarct, Myocardial (acute) (with stated duration of 4 weeks or less) (I21.3) NOTE FROM MANUAL Note-Use the following fifth-digit subclassification with category 410:Ģ - subsequent episode without recurrence Infarct, Myocardial (acute or with a stated duration of 8 weeks or less) (with Hypertension) (410.9x) In addition, there are no specific codes for Postoperative Fibrillation or Postoperative Flutter in the alpha index.Ĭongestive Heart Failure (compensated) (decompensated) (428.0)Ĭongestive Heart Failure (compensated) (decompensated) (I50.9)Ĭombined with Systolic (congestive) (I50.40)Ĭombined with Diastolic (congestive) (I50.40) NOTE FROM AUTHOR Attention: There are specific descriptions for Atrial Fibrillation and Atrial Flutter in I-10. one code in I-10Ītrial Fibrillation (established) (paroxysmal) (427.31)Ītrial Fibrillation or Auricular (established) (I48.91) NOTE FROM AUTHOR Attention: Two codes in I-9 vs. For the I-10 Corner this week, we are discussing a few of the specific coding differences for cardiac diagnoses and conditions in ICD-9-CM and ICD-10-CM.Īngina Pectoris with Atherosclerotic Heart Disease (ASHD):Īngina with ASHD, Unspecified-see Arteriosclerosis, Coronary (artery), Unspecified (I20.9)
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