icd 10 code for myocardial infarction aftercare

Full Answer

What are the 5 types of myocardial infarction?

• Type 2 MI
• Type 1 MI (NSTEMI)
• Demand ischemia only
• Unstable angina only
• Other, please specify:
• None of the above / Not applicable

What is Procedure Code 10e0xzz?

• DRG 805 - VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH MCC
• DRG 806 - VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH CC
• DRG 807 - VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC

What is the diagnosis code for acute myocardial infarction?

Acute myocardial infarction, unspecified

• Valid for Submission. I21.9 is a billable diagnosis code used to specify a medical diagnosis of acute myocardial infarction, unspecified.
• Tabular List of Diseases and Injuries. ...
• Index to Diseases and Injuries. ...
• Approximate Synonyms
• Replacement Code
• Convert I21.9 to ICD-9 Code
• Information for Patients. ...

What is the diagnosis code for myocardial infraction?

We examine Medicare costs and survival gains for Acute Myocardial Infarction (AMI) during 1986–2002. Like Cutler and McClellan, we find overall gains in post-AMI survival more than justified the increases in costs during this period. Since 1996, ...

What is the ICD-10 code for status post MI?

ICD-10 code I25. 2 for Old myocardial infarction is a medical classification as listed by WHO under the range - Diseases of the circulatory system .

When do you code old myocardial infarction?

To report AMI, refer to the following code categories: o Subsequent Myocardial Infarction: Acute myocardial infarction occurring within four weeks (28 days) of a previous acute myocardial infarction, regardless of site. o Old Myocardial Infarction: Reported for any myocardial infarction described as older than four ...

How do you code subsequent myocardial infarction?

First, in order to have a subsequent MI, there must first be an acute MI that has occurred in the preceding 28 days (not 30 days). Second, codes from category I22 should ONLY be applied if both the initial and subsequent MIs are type 1 MIs (coronary involvement, NSTEMI/STEMI) or unspecified.

How do you code aftercare?

Use Z codes to code for surgical aftercare. Z codes also apply to post-op care when the condition that precipitated the surgery no longer exists—but the patient still requires therapeutic care to return to a healthy level of function. In situations like these, ICD-10 provides a few coding options, including: Z47.

What is a subsequent myocardial infarction?

What is a “subsequent” myocardial infarction? An Inclusion note in the Tabular, category I22 Subsequent ST elevation (STEMI) and non-STE explains that it is an “acute myocardial infarction occurring within four weeks (28 days) of a previous acute myocardial infarction, regardless of site.”

What is the ICD-10 code for history of myocardial infarction?

I25. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is an old inferior myocardial infarction?

Inferior wall myocardial infarction (MI) occurs from a coronary artery occlusion with resultant decreased perfusion to that region of the myocardium. Unless there is timely treatment, this results in myocardial ischemia followed by infarction.

What is Z12 31?

For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient. However, coders are coming across many routine mammogram orders that use Z12.

What is the main term in myocardial infarction?

Myocardial infarction: A heart attack. Abbreviated MI. The term "myocardial infarction" focuses on the myocardium (the heart muscle) and the changes that occur in it due to the sudden deprivation of circulating blood. The main change is necrosis (death) of myocardial tissue.

What is the ICD 10 code for aftercare?

Aftercare codes are found in categories Z42-Z49 and Z51. Aftercare is one of the 16 types of Z-codes covered in the 2012 ICD-10-CM Official Guidelines and Reporting.

When do you use aftercare codes?

Z aftercare codes are used in office follow-up situations in which the initial treatment of a disease is complete and the patient requires continued care during the healing or recovery phase or for long-term consequences of the disease.

What is the difference between follow-up and aftercare?

Follow-up. The difference between aftercare and follow-up is the type of care the physician renders. Aftercare implies the physician is providing related treatment for the patient after a surgery or procedure. Follow-up, on the other hand, is surveillance of the patient to make sure all is going well.

What is the ICD-10 code for acute myocardial infarction?

The patient is admitted to the hospital on June 1 and is diagnosed with acute myocardial infarction, unspecified ( ICD-10 code I21.9). On July 7, the provider sees the patient for a follow-up visit and the patient receives care related to the myocardial infarction.

What is the code for acute MI?

An MI is coded as acute for a period of four weeks following onset; after that, it is assigned code I25.2 (old MI). Codes in category I22 are also provided for a subsequent type 1 MI (STEMI or NSTEMI), defined as another MI occurring within four weeks of a previous (initial) MI. In this situation, a code from I21 is also assigned for the initial MI.

How many types of myocardial infarction are there?

Myocardial Infarction has defined six types of MI. The two most commonly encountered are type 1 (primarily due to CAD) and type 2 (primarily due to myocardial supply/demand mismatch). For these two types, MI is defined as myocardial necrosis identified by a rise and/or fall of cardiac biomarkers to or from a level greater than the 99th percentile of the upper reference limit.

What is type 1 MI?

Type 1 is the classic spontaneous MI, primarily due to coronary artery disease (CAD) with atherosclerotic plaque rupture, ulceration, fissuring, erosion, or dissection causing intraluminal thrombosis. Occasionally type 1 occurs in the absence of CAD with spontaneous thrombosis of a coronary artery (particularly in women). Type 1 includes Q-wave infarction, ST-elevation MI, and non-ST elevation MI.

Myocardial Infarction Coding

Aside from the obvious code changes, a coder needs to be aware of some fundamental differences in guidelines for the coding of myocardial infarctions.

Examples of Sequencing With I22 And I21 Categories

A patient presents with an AMI and during the same hospitalization suffers another AMI. In this case, I21 category would be sequenced first followed by I22. A patient is discharged one week prior after suffering an AMI and now is admitted for a new AMI. For this scenario, the I22 category would be sequenced first followed by the I21 code

When the reason for an encounter is aftercare following a procedure or injury, should the 2012 ICD-10-CM

When the reason for an encounter is aftercare following a procedure or injury, the 2012 ICD-10-CM Official Guidelines and Reporting should be consulted to ensure that the correct code is assigned. Codes for reporting most types of aftercare are found in Chapter 21. However, aftercare related to injuries is reported with codes from Chapter 19, using seventh-character extensions to identify the service as aftercare.

What is aftercare visit code?

Aftercare visit codes cover situations occurring when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or care for the long-term consequences of the disease.

What is the ICd 10 code for factors influencing health and contact with health services?

The codes for factors influencing health and contact with health services represent reasons for encounters. In ICD-10-CM, these codes are located in Chapter 21 and have the initial alpha character of “Z,” so codes in this chapter eventually may be referred to as “Z-codes” (just as the same supplementary codes in ICD-9-CM were referred to as “V-codes”). While code descriptions in Chapter 21, such as aftercare, may appear to denote descriptions of services or procedures, they are not procedure codes. These codes represent the reason for the encounter, service or visit, and the procedure must be reported with the appropriate procedure code.

What is the code for antineoplastic radiation?

Codes for encounters for antineoplastic radiation, chemotherapy and immunotherapy (Z51.0, Z51.1-) are assigned if the sole reason for the encounter is antineoplastic therapy – even if the patient still has the neoplastic disease.

What is a myocardial infarction?

It is defined, according to the American College of Cardiology, as myocardial infarction secondary to ischemia due to either increased oxygen demand or decreased supply. Examples given are coronary artery spasm, coronary embolism, anemia, arrhythmias, hypertension or hypotension.

What is secondary to ischemia?

Secondary to an ischemia. Ischemia caused by increased oxygen demand or decreased supply, such as coronary endothelial dysfunction, coronary artery spasm, coronary artery spasm or embolism, tachy- or brady arrhythmias, anemia, respiratory failure, hypotension and hypertension. Type 3. Cardiac death due to MI.