Myocardial infarction (NSTEMI), acute (AMI), subendocardial/non-transmural (non-Q-wave): Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle =Myocardial | | OldDxArticle =Myocardial infarction | ||
| CurrentStatus = reconciled | |||
| InitialEditorAssigned = Laura Kolesar | | InitialEditorAssigned = Laura Kolesar | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | |||
| ICD10 Code=I21.4 | | ICD10 Code=I21.4 | ||
| BugRequired= | | BugRequired= | ||
}} | }} | ||
{{ICD10 category|Cardiovascular}}{{ICD10 category|Myocardial Infarction}}{{ICD10 category|Ischemic heart disease}}{{ICD10 category|Arterial thromboembolism}} | |||
== Additional Info == | == Additional Info == | ||
*In the acute ACS patient the term NSTEMI is generally used. | *In the acute ACS patient the term NSTEMI is generally used. Once the MI has evolved, it is a non-transmural infarct as evidenced by the ''absence'' of Q waves on the EKG. | ||
*If the diagnosis of ACS is indicated by history and ECG, the diagnosis of NSTEMI may be established if a biomarker of myocardial injury has been released (i.e., troponin elevation). If there is no evidence of biochemical marker release suggestive of myocardial necrosis in a patient with suspected ACS, they may be considered to have experienced unstable angina. | *If the diagnosis of ACS is indicated by history and ECG, the diagnosis of NSTEMI may be established if a biomarker of myocardial injury has been released (i.e., troponin elevation). If there is no evidence of biochemical marker release suggestive of myocardial necrosis in a patient with suspected ACS, they may be considered to have experienced unstable angina. | ||
{{ICD10 Guideline MI type vs mechanism}} | |||
{{ICD10 Guideline MI acute vs past history}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Ischemic heart disease}} | |||
{{ListICD10Category | categoryName = Myocardial Infarction}} | |||
{{ListICD10Category | categoryName = Arterial thromboembolism}} | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
*Also code any acute complications, from list above. | |||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Revision as of 17:11, 2018 November 28
| ICD10 Diagnosis | |
| Dx: | Myocardial infarction (NSTEMI), acute (AMI), subendocardial/non-transmural (non-Q-wave) |
| ICD10 code: | I21.4 |
| Pre-ICD10 counterpart: | Myocardial infarction |
| Charlson/ALERT Scale: | Myocardial infarction |
| APACHE Como Component: | none |
| APACHE Acute Component: | 2019-0: Coronary Artery Disease |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- In the acute ACS patient the term NSTEMI is generally used. Once the MI has evolved, it is a non-transmural infarct as evidenced by the absence of Q waves on the EKG.
- If the diagnosis of ACS is indicated by history and ECG, the diagnosis of NSTEMI may be established if a biomarker of myocardial injury has been released (i.e., troponin elevation). If there is no evidence of biochemical marker release suggestive of myocardial necrosis in a patient with suspected ACS, they may be considered to have experienced unstable angina.
MI - type vs mechanism
MIs are occasionally listed as "Type 2 MIs", ie no evidence of coronary artery disease (CAD). This refers to the mechanism, and the AMI codes include any/all mechanisms (including coronary artery embolism, thrombosis or thromboembolism); said another way, we don't particularly care about the mechanism. They should be coded based on their manifestation.
In ICD10, this will mean:
- Code the appropriate AMI code:
- Code the cause separately, as a Combined ICD10 codes. For example it might be one of the following:
MI - acute vs past history
To decide whether to code an acute MI dx in the Admit Diagnosis or Acquired Diagnosis / Complication, or a Past history, myocardial infarction (old MI) in the Comorbid Diagnosis, consider the following:
- Regarding an MI that occured prior to the current hospitalization -- might be coded as either Comorbid Diagnosis, or a Past history, myocardial infarction (old MI)
- In ICD10 the code for Past history, myocardial infarction (old MI) reads as follows: Healed myocardial infarction -- Past myocardial infarction diagnosed by ECG or other special investigation, but currently presenting no symptoms.
- If the prior MI is still active and we're not dealing with any current complications of it, then instead use one of the AMI codes, as a Comorbid Diagnosis.
- If the prior MI is still active and we are dealing with any current complications of it, then instead use one of the AMI codes, as a Admit Diagnosis.
- Examples: Papillary muscle rupture or Ongoing angina related to a recent MI prior to this unit/ward admission.
- For a missed MI: code it as one of the "...acute..." codes if the missed MI is being treated as an acute MI
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
- Also code any acute complications, from list above.
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories