Description of hypothetical case | Top 3 primary ICD-10 codes | Percent |
---|---|---|
. | ||
Chest pain and tachycardia after first use of cocaine | R07.2 Precordial pain | 43.5 |
R07.4 Chest pain, unspecified | 24.6 | |
T40.5 Poisoning by Cocaine | 17.4 |
Cocaine abuse with cocaine-induced mood disorder. F14.14 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM F14.14 became effective on October 1, 2018. This is the American ICD-10-CM version of F14.14 - other international versions of ICD-10 F14.14 may differ.
The physician stated that this chest pain was due to the cocaine intoxication. Would the principal diagnosis be the cocaine intoxication or chest pain? As of October 1, 2010, code 970.8 has been expanded and a unique code (970.81) has been created to identify cocaine poisoning.
Chest Pain ICD 10 Example 1: A 21-year-old male patient came to the clinic with a chief complaint of acute intercostal chest pain secondary to being kicked in the chest. Code the appropriate ICD-10-CM code (s). Ans – R07.82 (intercostal chest pain), G89.11 (acute pain due to trauma)
F14.951 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM F14.951 became effective on October 1, 2021. This is the American ICD-10-CM version of F14.951 - other international versions of ICD-10 F14.951 may differ. other stimulant-related disorders ( F15.-)
Pathophysiology. Cocaine has multiple cardiovascular and hematologic effects that likely contribute to the development of myocardial ischemia and/or MI.
Coronary vasospasm and sudden cardiac death are a frequently reported complication of cocaine abuse.
Myocardial oxygen demand may exceed myocardial oxygen supply, leading to ischemia or infarction. Cocaine affects cardiac myocytes directly by blocking sodium channels, which decreases left ventricular (LV) contractility and is arrhythmogenic.
F13. 20 Sedative, hypnotic or anxiolytic dependence, uncomplicated - ICD-10-CM Diagnosis Codes.
9 – Chest Pain, Unspecified. ICD-Code R07. 9 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Chest Pain, Unspecified.
Cocaine has been shown to induce myocarditis, either through elevated levels of catecholamines, creating myocardial necrosis and local immune reaction, or from the induction of eosinophilic myocarditis.
2022 ICD-10-CM Diagnosis Code F13. 20: Sedative, hypnotic or anxiolytic dependence, uncomplicated.
Code F41. 9 is the diagnosis code used for Anxiety Disorder, Unspecified. It is a category of psychiatric disorders which are characterized by anxious feelings or fear often accompanied by physical symptoms associated with anxiety.
F13. 20 - Sedative, hypnotic or anxiolytic dependence, uncomplicated. ICD-10-CM.
Chest pain due to angina is considered to be integral to the cardiac condition: Only the angina would be coded. A 63-year-old women presents with non-cardiac chest pain that and severe anxiety: Code non-cardiac chest pain (786.59) and anxiety (300.00).
Precordial catch syndrome refers to a sudden sharp pain in the chest that comes and goes quickly with no other symptoms. The word precordial refers to “in front of the heart”, as the pain generally appears in the upper left-hand region of the ribs near the heart.
Viruses are common causative agents of pleuritic chest pain. Coxsackieviruses, respiratory syncytial virus, influenza, parainfluenza, mumps, adenovirus, cytomegalovirus, and Epstein-Barr virus are likely pathogens.
Coronary artery spasm occurs most commonly in people who smoke or who have high cholesterol or high blood pressure. It may occur without cause, or it may be triggered by: Alcohol withdrawal. Emotional stress.
A vasospasm is the narrowing of the arteries caused by a persistent contraction of the blood vessels, which is known as vasoconstriction. This narrowing can reduce blood flow. Vasospasms can affect any area of the body including the brain (cerebral vasospasm) and the coronary artery (coronary artery vasospasm).
Prinzmetal angina (vasospastic angina or variant angina) is a known clinical condition characterized by chest discomfort or pain at rest with transient electrocardiographic changes in the ST segment, and with a prompt response to nitrates. These symptoms occur due to abnormal coronary artery spasm.
The default ICD 10 code for chest pain is R07.9 (Chest pain, unspecified). Any additional document specifying the chest pain will require a more accurate code from the following list.
Chest Pain ICD 10 general guidelines: 1 Documentation is the key to accurate coding of the chest pain. If the chest pain is due to any underlying condition and there is documentation of a confirmed diagnosis, the code for chest pain is not to be coded separately. 2 The alphabetic index needs to be referred first followed by the tabular list for accurate coding. 3 The default ICD 10 code for chest pain is R07.9 (Chest pain, unspecified). Any additional document specifying the chest pain will require a more accurate code from the following list.
This is one of the common type of chest pain seen in children and adolescents. Retrosternal pain – Pain behind the sternum or breast commonly caused due to gastrointestinal problems such as GERD.
Documentation is the key to accurate coding of the chest pain. If the chest pain is due to any underlying condition and there is documentation of a confirmed diagnosis, the code for chest pain is not to be coded separately.
Costochondral pain – Chest pain caused by the inflammation of the cartilage in the rib cage (Costochondritis) that mimics the pain caused due to a heart attack or other heart conditions. Chest wall syndrome – Stress or injury causing direct or referred pain to the chest wall.
Pleurodynia/Pleuritic chest pain/Pleuralgia – Severe sharp, gripping pain in the muscles between the ribs or in the diaphragm.
Painful respiration – Discomfort or pain associated with inhalation and exhalation due to underlying causes such as infections, musculoskeletal injuries or heart problems .
Chest pain is classified to ICD-9-CM code 786.50, which may change depending on the exact location, with midsternal or substernal chest pain coded to 786.51 and chest wall or anterior chest wall pain coded to 786.52.
Other symptoms accompanying noncardiac-related chest pain may include a burning sensation behind the sternum, a sour taste in the mouth, difficulty swallowing, fluctuations in pain intensity when there is a change in body position, pain intensification with deep breathing and coughing, and tenderness when pressure is applied to the chest.
CDS believes because the cardiac arrest was due to heroin ingestion.
1. The patient had a hypoxic arrest likely secondary to an asthma reaction in the setting of heroin inhalation. 2. Pulseless electrical activity arrest, suspect secondary to hypoxia. 3. Hypoxic brain injury. 4.
Cocaine-associated MI usually occurs fairly early after acute cocaine use. 50% of MIs occur in patients prior to their arrival in the ED. 24% of the total will occur within the first hour of cocaine use. ocaine causes systolic and diastolic dysfunction, arrhythmias, and atherosclerosis even in young users with relatively few cardiac risk factors, ...
Several retrospective studies have concluded that beta blockers are safe in cocaine induced chest pain. some studies base diagnosis of cocaine-induced chest pain on the presence of positive cocaine drug screens, these may be persistently positive for up to 3 days after acute intoxication has resolved.
OVERVIEW. Cocaine is a recreational drug with sympathomimetic effects in additional to being a sodium channel blocker. Cocaine can induce acute coronary syndromes through vasoconstriction, atheroma rupture and/ or dissection. Cocaine contributes to approx. 1 of every 4 MIs between 18 and 45 years of age in the USA.