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)Click Expand to show legacy content.
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| Category/Organ System: |
Category: Cardiovascular(old) (old) |
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Type: |
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| Main Diagnosis: | Myocardial infarction |
| Sub Diagnosis: | Yes-see Myocardial infarction |
| Diagnosis Code: | 10200 - Myocardial Infarction
Item below not allowed in comorbid
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| Comorbid Diagnosis: | Yes |
| Charlson Comorbid coding (pre ICD10): | 1 |
| Program: | CC & Med |
| Status: | Currently Collected
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Template:DiscussionTemplate:ICD10 How would Myocardial Infarction aborted with TPA be coded in ICD10? I assume we have such a strange dx because someone requested it... Ttenbergen 18:25, 2017 November 12 (CST)
Criteria
- Documented CPK rise or classic EKG changes
Proposed coding of type 2 MI
- I have seen quite a few type 2 MI's and our database really does not deal with this. A type 2 MI is when there is no evidence of coronary artery disease, but the MI still occurs for other reasons. It occurs when there is supply/demand mismatch with no CAD. The most common one we see is related to prolonged anemia where the pt's oxygen-carrying capacity is reduced. Another reason would be reduced blood volume (hypovolemia), profound bradycardia, etc. These conditions can cause an MI even with normal coronary arteries.
- I propose that if there is a supply/demand mismatch with normal coronaries and there is an elevated troponin, we call in a non Q MI (NSTEMI)unless there is a clear diagnosis of a STEMI or other reason for an increased troponin. The other option is to make a new category for type 2 MI.--LKolesar 14:38, 2015 November 16 (CST)
- I don't think this is new...we recognize this in the ACS population...if angio isn't done coronary arteries/status would not be known but we still code as NSTEMI(reviewing the EKGs and cardiology consult notes) and have been for awhile.--Llemoine 14:47, 2015 November 16 (CST)