ICD-10 updates for 2018 acknowledge two types of acute myocardial infarction to differentiate, document, and code. By Artemio Castillejos, CPC, CPMA, CCVTC, CCS, CL6SGB Proper documentation and coding of conditions are vital to recognizing clinical significance and prognostication, communicating with other clinicians, and receiving appropriate reimbursement for resource utilization. Starting Oct. ...
In Coding
Jul 24th, 2017
Regarding coding for Type 2 Myocardial Infarction, per Coding Clinic (1st Quarter 2017): Question: If a provider documents type 2 myocardial infarction (T2MI) due to demand ischemia, how should it be coded? Answer: Assign code I21.4, Non-ST elevation (NSTEMI) myocardial infarction, for a T2MI. Typically, a type 2 myocardial infarction is marked by non-ST elevation, ...
In Coding
Apr 1st, 2014
Accurate ICD-10 coding requires proper documentation and an understanding of clinical conditions. By Betty Hovey, CPC, CPC-H, CPB, CPMA, CPC-I, CPCD Coding acute conditions in ICD-10-CM can be tricky for a few reasons: For starters, the term “acute” has various meanings in the diagnosis code set. Second, there are timeframe factors to consider. And, third, ...
Mar 1st, 2013
  Walk through real cases to help you strengthen A&P. By Rhonda Buckholtz, CPC, CPMA, CPC-I, CENTC, CGSC, COBGC, CPEDC Preparing for ICD-10-CM implementation requires a strategy to minimize productivity losses. Remember how painfully slow it was to search the ICD-9-CM codebook when you first started to learn coding? Although ICD-10-CM may be familiar to ...
Feb 1st, 2012
Clean claims require a healthy balance of anatomy and pathophysiology knowledge as well as proper documentation. By Jana Purrell, CPC, CPC-I, CEMC A myocardial infarction (MI) or acute myocardial infarction (AMI), commonly referred to as a heart attack, occurs when one or more coronary arteries that carry blood to the heart are blocked. Symptoms include ...