Wiki Cardiology Dx coding

[ChattRiskCoder]

I'm a radiology coder and do not do very much cardiology coding. Can you advise on dx?

Exam: Myocardial Perfusion Scan with Lexiscan
Clinical History: Endstage Renal Disease

Findings: Fixed thinning of the inferior wall is present . The anterolateral septal wall and apex show normal uptake at stress and rest.

gated images show an ejection fracture of 48%. There is no evidence of ischemia.

Impression:
No evidence of ischemia. Ejection fracture 48%
Fixed inferior wall thinning.

Coded = 78452-26
93018
585.6

What dx code would you have assigned?

 

[twizzle]

What were the indications for the procedure? The patient may have an abnormal EKG but without that or any other indication there is no medical necessity.

 

[Robbin109]

Can you post the entire report or is this it?

 

[theresa.dix@tennova.com]

I'm a radiology coder and do not do very much cardiology coding. Can you advise on dx?

Exam: Myocardial Perfusion Scan with Lexiscan
Clinical History: Endstage Renal Disease

Findings: Fixed thinning of the inferior wall is present . The anterolateral septal wall and apex show normal uptake at stress and rest.

gated images show an ejection fracture of 48%. There is no evidence of ischemia.

Impression:
No evidence of ischemia. Ejection fracture 48%
Fixed inferior wall thinning.

Coded = 78452-26
93018
585.6

What dx code would you have assigned?

585.6 is not an approved dx code for a myocardial perfusion scan. The impression is not specific enough to assign a dx code.

You will need to go back into the records and find an approved dx for 78452. It may be an abnormal ekg? chest pain? something like that. There is a list of dx codes. Can you find your LCD for your region? See what you can find and let us know.

 

[fjones10]

icd-9

what is the icd-9 code for fixed inferior wall thinning. please review previous note