Ischemic heart disease, acute NOS: Difference between revisions
Jump to navigation
Jump to search
Ttenbergen (talk | contribs) No edit summary |
|||
| (29 intermediate revisions by 8 users not shown) | |||
| Line 1: | Line 1: | ||
{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle = | | OldDxArticle = | ||
| CurrentStatus = reconciled | |||
| InitialEditorAssigned = Laura Kolesar | | InitialEditorAssigned = Laura Kolesar | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | |||
| ICD10 Code=I24.9 | | ICD10 Code=I24.9 | ||
| BugRequired= | | BugRequired= | ||
}} | }} | ||
{{ICD10 category|Cardiovascular}}{{ICD10 category|Ischemia}}{{ICD10 category|Ischemic heart disease}} | |||
{{ICD10 category|Respiratory}} | |||
== Additional Info == | == Additional Info == | ||
{ | '''Includes''' | ||
* supply Demand ischemia | |||
* Ischemia co-occurrent and due to increased oxygen demand (Type 2 MI) | |||
* Subendocardial ischemia | |||
* Coronary artery spasm (coronary vasospasm) | |||
* Stunned myocardium-transient reversible myocardial contractile dysfunction induced by acute ischemia | |||
{{ICD10 Guideline MI type vs mechanism}} | |||
{{ICD10 Guideline MI acute vs past history}} | |||
== Alternate ICD10s to consider coding instead == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Ischemic heart disease}} | |||
{ | {{ListICD10Category | categoryName = Ischemia}} | ||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | |||
{{EndPlaceHolder}} | |||
Latest revision as of 08:13, 13 January 2026
| ICD10 Diagnosis | |
| Dx: | Ischemic heart disease, acute NOS |
| ICD10 code: | I24.9 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Includes
- supply Demand ischemia
- Ischemia co-occurrent and due to increased oxygen demand (Type 2 MI)
- Subendocardial ischemia
- Coronary artery spasm (coronary vasospasm)
- Stunned myocardium-transient reversible myocardial contractile dysfunction induced by acute ischemia
MI - type vs mechanism
MIs are occasionally listed as "Type 2 MIs", ie no evidence of coronary artery disease (CAD). This refers to the mechanism, and the AMI codes include any/all mechanisms (including coronary artery embolism, thrombosis or thromboembolism); said another way, we don't particularly care about the mechanism. They should be coded based on their manifestation.
In ICD10, this will mean:
- Code the appropriate AMI code:
- Code the cause separately, as a Combined ICD10 codes. For example it might be one of the following:
MI - acute vs past history
To decide whether to code an acute MI dx in the Admit Diagnosis or Acquired Diagnosis / Complication, or a Past history, myocardial infarction (old MI) in the Comorbid Diagnosis, consider the following:
- Regarding an MI that occured prior to the current hospitalization -- might be coded as either Comorbid Diagnosis, or a Past history, myocardial infarction (old MI)
- In ICD10 the code for Past history, myocardial infarction (old MI) reads as follows: Healed myocardial infarction -- Past myocardial infarction diagnosed by ECG or other special investigation, but currently presenting no symptoms.
- If the prior MI is still active and we're not dealing with any current complications of it, then instead use one of the AMI codes, as a Comorbid Diagnosis.
- If the prior MI is still active and we are dealing with any current complications of it, then instead use one of the AMI codes, as a Admit Diagnosis.
- Examples: Papillary muscle rupture or Ongoing angina related to a recent MI prior to this unit/ward admission.
- For a missed MI: code it as one of the "...acute..." codes if the missed MI is being treated as an acute MI
Alternate ICD10s to consider coding instead or in addition
| Ischemic heart disease codes: |
| Ischemia codes: |
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories
|
ICD10 Categories: |