ACS: Difference between revisions

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***More and more doctors are charting pt has a supply-demand mismatch. Case 1. I had a patient come in iatrogenic hyperthyroidism causing a new at fib ,high blood pressure, and abd pain .CPK 586 TNT 1.4 the doctors stated no infarct I coded as coronary insufficiency

Is this right or wrong? Case 2 Drs notes sepsis /supply demand mismatch Pt has chest pain EKG has ant lat changes ischemia TNT 0.42 DX. pneumonia I coded as nonq infarct drs coded as supply/demand mismatch no mention of MI did I code wrong? Case 3 When a pt comes back from an angio and needs immediate surgery for 3 vessel disease and has no pain post angio now you have already code an infarct or angina as an admit How do you code the blockage ?as ? coronary insufficiency. How does everyone code ISHD as a comorb? One more question how do you code "heart strain supply demand mismatch" positive TNT no chest pain no ekg changes due to severe low hemoglobin is this coronary insufficiency? the reason the hemoglobin was low is already coded . Thanks Shirley

****Shirley these are all very good questions why don't you add it to the agenda for the staff meeting?[[User:GHall|GHall]] 18:56, 21 February 2010 (CST)

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 ***More and more doctors are charting pt has a supply-demand mismatch. Case 1. I had a patient come in iatrogenic hyperthyroidism causing a new at fib ,high blood pressure, and abd pain .CPK 586 TNT 1.4 the doctors stated no infarct I coded as coronary insufficiency
 Is this right or wrong?  Case 2 Drs notes sepsis /supply demand mismatch Pt has chest pain EKG has ant lat changes ischemia TNT 0.42 DX. pneumonia I coded as nonq infarct drs coded as supply/demand mismatch no mention of MI did I code wrong? Case 3 When a pt comes back from an angio and needs immediate surgery for 3 vessel disease and has no pain post angio now you have already code an infarct or angina as an admit How do you code the blockage ?as ? coronary insufficiency. How does everyone code ISHD as a comorb? One more question how do you code "heart strain supply demand mismatch" positive TNT no chest pain no ekg changes due to severe low hemoglobin is this coronary insufficiency?   the reason the hemoglobin was low is already coded .  Thanks Shirley
+****Shirley these are all very good questions why don't you add it to the agenda for the staff meeting?[[User:GHall|GHall]] 18:56, 21 February 2010 (CST)