Template:ICD10 Guideline MI acute vs past history: Difference between revisions

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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:  
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)]]'''
*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:
*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.
**Includes: 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]].
{{Discuss | who = Allan | question = template
**Examples: Papillary muscle rupture or Ongoing angina related to a recent MI ''prior'' to this unit/ward admission.
* Example(s) here would be good to illustrate and provide clarity}}


{{Discuss | who = Allan | question = template
{{Discuss | who = Allan | question = template
* I tweaked this because the "or" in the previous seemed wrong and it didn't address the acute / admit dx side. If I got it right pls just take this out, else pls fix. }}
* I tweaked this because the "or" in the previous seemed wrong and it didn't address the acute / admit dx side. If I got it right pls just take this out, else pls fix. }}

Revision as of 09:53, 2018 October 23

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:

  • 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.

template

  • I tweaked this because the "or" in the previous seemed wrong and it didn't address the acute / admit dx side. If I got it right pls just take this out, else pls fix.
  • SMW


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