Acute coronary insufficiency

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

Click Expand to show legacy content.

edit dx infobox
Category/Organ System:	Category: Cardiovascular (old)
Type:
Main Diagnosis:
Sub Diagnosis:	152-00
Diagnosis Code:	No
Comorbid Diagnosis:	0
Charlson Comorbid coding (pre ICD10):	Critical Care and Medicine
Program:	Currently Collected
Status:	May 27.04

Also see Unstable angina

152 CORONARY INSUFF: PAIN > 15 MIN. @ REST, NO ENZYME elevation, NO q WAVE CHANGES on EKG

Template:Discussion

• The term coronary insufficiency is rarely used and usually once the patient is in the unit for a few hours they know whether an infarct has occured or not. Unstable angina is used if the diagnosis is Acute Coronary Syndrome(ACS) and there is no evidence of infarct, only ischemia. If an MI is evident, it is either NSTEMI or STEMI, depending on the 12 lead evidence and enzymes. I think we should check with a cardiologist to see if the term coronary insufficiency has value in our program any more since the new terminology took effect. By the way ACS is the correct terminology for many years already.--LKolesar 13:20, 14 April 2009 (CDT)

Template:Stub 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.