Myocardial infarction

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:Myocardial infarction, acute (AMI), NOS, Myocardial infarction (STEMI), acute (AMI), transmural (Q-wave), Myocardial infarction (NSTEMI), acute (AMI), subendocardial/non-transmural (non-Q-wave)

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edit dx infobox
Category/Organ System:	Category: Myocardial infarction (old)
Type:	[[:Category: 01. ANTERIOR 02. ANTEROSEPTAL 03. LATERAL 04. INFERIOR 05. POSTERIOR 06. RIGHT VENTRICULAR 07. NON TRANSMURAL (NON Q) 08. INTRA-OPERATIVE 09. POST-OPERATIVE 10. MI ABORTED WITH TPA (old)]][[Category: 01. ANTERIOR 02. ANTEROSEPTAL 03. LATERAL 04. INFERIOR 05. POSTERIOR 06. RIGHT VENTRICULAR 07. NON TRANSMURAL (NON Q) 08. INTRA-OPERATIVE 09. POST-OPERATIVE 10. MI ABORTED WITH TPA (old)]]
Main Diagnosis:	102-xx
Sub Diagnosis:	Critical Care and Medicine
Diagnosis Code:	Currently Collected
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:
Status:

Criteria

• Documented CPK rise or classic EKG changes

• • See ICU Var 2 to tag MI Care Map MAP.

Discussion

• The subdiagnoses are not mutually exclusive, an MI could be both post-op and anterior. What is the precedence with which to collect these? Even if we explain this here, there still is a risk of misunderstanding. I think the ones that are not exclusive shoudl be eliminated. (The same is probably true for other dxs) Ttenbergen 12:51, 18 February 2009 (CST)
  • On second thought, would we just code both post-op and anterior, leading to two MI dxs? If so, which goes first, since we report on primary admit DXs? Also, does this lead to higher numbers of MI reported? If a patient in fact has two MIs, one post-op with location unknown, and one anterior when first admitted, would our db report this as just one MI or as several? I will send this to Julie as well.Ttenbergen 12:56, 18 February 2009 (CST)

Data Integrity Rules

• If 102-10 you must not use any another 102 with a subcode.
• This rule is not yet implemented in ACCESS.

• • See ICU Var 2 to tag MI Care Map MAP.
    • Good point Tina because we only list 6 dx, how do we priortize if the MI is both post-op and anterior if we do not have room on our dx list? Which is more NB to know, the MI being post-op or the location of the MI?--MWaschuk 13:49, 18 February 2009 (CST)