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 | ||
| MinimumCombinedCodes = | | MinimumCombinedCodes = | ||
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{{ICD10 category|Cardiovascular}} {{ICD10 category|Myocardial | {{ICD10 category|Cardiovascular}} {{ICD10 category|Myocardial infarction}} | ||
== Additional Info == | == 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. | *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. | ||
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== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Myocardial | {{ListICD10Category | categoryName = Myocardial infarction}} | ||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
Revision as of 17:42, 2017 November 3
| 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.
Alternate ICD10s to consider coding instead or in addition
| Myocardial infarction codes: |
Candidate Combined ICD10 codes
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