Wiki ICD-10 Dx for Elevated Troponin

Community Wiki

This is a community-maintained wiki post containing the most important information from this thread. You may edit the Wiki once you have been on AAPC for 30 days and have made 5 posts. Learn More
D
ICD-10 Dx for Elevated Troponin

A troponin test measures the levels troponin T or troponin I proteins in the blood. The more damage there is to the heart, the greater the amount of troponin T and I will be in the blood. R79.89 is an ICD-10 Code for Other specified abnormal findings of blood chemistry which is appropriate for this condition.

dsteenken

Contributor
Messages
16
Location
Tucson, AZ
Best answers
0
Hello,

I'm trying to determine what the ICD-10 Dx code is for Elevated Troponin? I know people went back & forth on the correct Dx code in ICD-9, and I have no clue what direction to take in ICD-10.

Thank you,
D.S. :)
 

SDAlward

Guest
Messages
49
Best answers
0
We use 790.99 for that in ICD, on AAPC's website they have a coding conversion so when I put that in in coverts it to R78.89 or R78.9

Hope that helps
 

EHafemann

New
Messages
1
Location
Northern Plains Chapter
Best answers
0
You should not use R78.89 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.
 

jvilla

Contributor
Messages
20
Location
Sacramento, CA
Best answers
0
Would use R77.8

We use R74.8
"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). They are measured in the blood to differentiate between unstable angina and myocardial infarction (heart attack) in people with chest pain.."

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
 

zspoppa

New
Messages
3
Best answers
0
+1 for JVilla's Rationale

Troponin is a complex of three proteins;
  • it's not an enzyme so it doesn't fall under R74.8;
  • a more-specific code exists so it doesn't fall under R79.89
R77.8 is the correct choice
 
Top