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| {{DX tag | Unstable angina | UNSTABLE ANGINA | 151-00 | '''Critical Care and Medicine''' | Currently Collected |May 27.2004| }} | | {{DX tag | Cardiovascular Problems | Medical Problem | UNSTABLE ANGINA | Unstable Angina | 151-00 | No | 0 | '''Critical Care and Medicine'''| Currently Collected |May 27.2004| |}} |
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| 151 UNSTABLE ANGINA PAIN < 15 MIN. RELIEVED BY NITRO OR @ REST
| | Chest pain due to a clot which decreases but does not block blood flow. The chest pain is either the new onset of angina or a change in the usual pattern of chest pain or discomfort (getting worse, lasting longer, occurs with less exercise or other stimuli than usual or not being relieved with rest or use of medications). |
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| | Unstable angina is dangerous as may be NSTEMI or become a STEMI, and requires urgent intervention, such as adjustment of medications and angioplasty with stents. - [[p:Marla Penner]] - 12:12, 2014 October 14 (CDT) |
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| | Also see: [[Chronic Stable Angina]] |
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| ==Discussion==
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| {{Discussion}}
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| *I think unstable angina and coronary insuffiency have incorrect descriptions in our code book. Unstable angina is angina that is "UNSTABLE" it occurs at rest often lasts more than 15 minutes and needs more aggressive interventions with nitro spray,oxygen,IV morphine. Coronary insufficiency lasts less than 15 minutes and is managed well with nitrospray and rest.The most comman thing we see with the charts is the term "ACS" which emcompasses unstable angina,NSTEMI and STEMI.I would like to know how other collectors are coding patients with cardiac chest pain?[[User:GHall|GHall]] 11:56, 2 March 2009 (CST)
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| **I agree with you that the wording or classifications are used differently now. At the VIC if it is not clearly an STEMI or a NSTEMI we use Acute Coronary Insufficiency. If they have a history of chest pain that is not described as Unstable angina, we use 152 - Chronic stable angina. I would like us to be to use the classification ACS (unless it is clearly an NSTEMI) [[User:JWinestock|JWinestock]] 17:06, 3 March 2009 (CST)JWinestock
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| **I collect on Medicine A4. When patient's are admitted with chest pain, the physician's will document Unstable Angina, ACS, or r/o ACS. This does pose a problem for data collecors who are not cardiologists. The history and physical assessement will contain information about the chest pain, and usually the chest pain lasts less than 15 min, or relieved by rest and the physican's will call this USA or ACS pending diagnotics like MUGA, Coronary angio, stress tests etc... I try to follow what the book states, and I have not entered the code corresponding to coronary insufficiency often. To clarify the A4 physician's like to use unstable angina or ACS.--[[User:JHutton|JHutton]] 09:07, 5 March 2009 (CST)
| | [[Category:ACS (old)]] |
| **Please Trish, clarify if there is a problem with under reporting Coronary insufficiency, is there a major difference in coding convention that would skew data in the data base between the two codes in question??--[[User:JHutton|JHutton]] 09:07, 5 March 2009 (CST)
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| **I agree that the classification seems outdated because of the extensive use ACS. But I have continued to code Unstable Angina and Coronary Insufficiency according to the data book descriptions. Fran--[[User:FLindell|FLindell]] 09:17, 5 March 2009 (CST)
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| {{stub}}
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| [[Category:Diagnosis Coding]]
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| ***Could we add this to the meeting agenda?[[User:NMiller|NMiller]] 15:02, 4 March 2009 (CST)NMiller
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