These symptoms include:
Troponin is a protein enzyme that leaks from the heart when this muscle is damaged. If the test result is elevated (in a range that indicates damage to heart tissue), this can mean that the patient had a heart attack very recently. However, elevated troponin doesn’t always mean cardiac damage.
Introduction Cardiac troponin is specific to the myocardium, and levels in the serum rise 3–4 hours after the occurrence of cardiac symptoms in patients with acute myocardial infarction (MI) [1]. Because of its high sensitivity and specificity, elevated levels of troponin indicate myocardial damage but not the mechanism of damage.
R79. 89 - Other specified abnormal findings of blood chemistry. ICD-10-CM.
ICD-9-CM 790.6 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 790.6 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).
R74. 8 - Abnormal levels of other serum enzymes. ICD-10-CM.
8: Abnormal levels of other serum enzymes.
Elevated Troponin should be coded to R74. 8 Abnormal levels of other serum enzymes.
R79.89Correct code is R79. 89; other specified abnormal findings of blood chemistry.
8 Abnormal levels of other serum enzymes. Abnormal level of: acid phosphatase.
GGT is useful for diagnosis of liver disease or injury, exclusion of hepatobiliary involvement related to other diseases, and patient management during the resolution of existing disease or following injury.
5: Abnormal results of liver function studies.
Troponin isn't normally found in the blood. When heart muscles become damaged, troponin is sent into the bloodstream. As heart damage increases, greater amounts of troponin are released in the blood. High levels of troponin in the blood may mean you are having or recently had a heart attack.
Very high levels of troponin are a sign that a heart attack has occurred. Most patients who have had a heart attack have increased troponin levels within 6 hours. After 12 hours, almost everyone who has had a heart attack will have raised levels. Troponin levels may remain high for 1 to 2 weeks after a heart attack.
What is the correct coding an of elevated troponin level, when an acute myocardial infarction is ruled-out? Our group is split between code R74. 8, Abnormal levels of other serum enzymes; code R79. 89, Other specified abnormal findings of blood chemistry; and code R77.
Other specified abnormal findings of blood chemistry R79. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM R79.
Unfortunately, there is no specific code for an elevated cardiac troponin leaving us with the assignment of R74. 8 Abnormal levels of other serum enzymes. This makes coding sense because troponin (a protein) is a type of enzyme. In fact, there is a 'tip' under code R74.
Troponin is a plasma protein. Per the American College of Cardiology Journal, "Cardiac troponin T (cTnT) is a plasma protein routinely used for the diagnosis of acute myocardial infarction (AMI)..". http://content.onlinejacc.org/article.aspx?articleid=1709469. R77.8 is correct.
Click to expand... "Troponin is a complex of three regulatory proteins (troponin C, troponin I, and troponin T) that is integral..". "Certain subtypes of troponin (cardiac I and T) are very sensitive and specific indicators of damage to the heart muscle (myocardium).
You should not use R 78.89 or R78.9 as that is substances not normally found in the blood. Troponin is a protein in your blood that helps with muscle contraction. I would use R79.89, Other specified abnormal findings of blood chemistry.