Template:ICD10 Guideline MI acute vs past history: Difference between revisions
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*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)]]''' | *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. | *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'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]]. | *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. | **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 | |||
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Latest revision as of 14:53, 2021 September 16
This template is used to explain when to use current vs past history of MI.
To use:
{{MI acute vs past history}}
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