ACS: Difference between revisions
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* At our most recent meeting on April 8,2009 Trish said if the doctors are calling the cardiac chest pain "unstable angina" code it that way. If they are calling the cardiac chest pain coronary insufficiency then code it that way.She mentioned taking away the definitions in the code book. | * At our most recent meeting on April 8,2009 Trish said if the doctors are calling the cardiac chest pain "unstable angina" code it that way. If they are calling the cardiac chest pain coronary insufficiency then code it that way.She mentioned taking away the definitions in the code book. | ||
***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 | |||