07-02-2018, 05:30 AM | Community Wiki

Results 1 to 2 of 2

Stemi help!!

  1. #1
    Location
    Jacksonville, NC
    Posts
    21
    Default Stemi help!!
    Medical Coding Books
    I have a patient with an anterior AMI, whose "culprit vessel" is a LIMA graft. I'm trying to figure out which STEMI code to use for the diagnosis. The native vessel it connects into is the LAD. Do I just use I21.02? Or do I use a code for other sites I21.29?

    Thanks
    Megan C, CPC, CIRCC, CCC

  2. #2
    Default
    I would use I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall. Anterior wall was stated which satisfies the fourth digit and LIMA graft would satisfy the 5th digit for other specified artery.

    Anterior wall was specifically stated, so I would code at least something from the I21.0X category instead of I21.29. Grafts aren't listed in the inclusion terms for I21.29, so I personally use that one either.
    Ivan Balza, CCS, CPC, CDEO, CPMA, CRC
    President, Corona California Chapter

Similar Threads

  1. Stemi help!!
    By megg1100 in forum Cardiology
    Replies: 0
    Last Post: 12-06-2017, 10:50 AM
  2. STEMI vs NSTEMI & 92941 vs 92928
    By treinemer in forum Cardiology
    Replies: 3
    Last Post: 06-21-2016, 02:04 PM
  3. Inferolateroposterior STEMI
    By dmanriquez in forum Cardiology
    Replies: 0
    Last Post: 09-18-2013, 05:15 PM
  4. critical care code and stemi
    By Twixle2002 in forum Cardiology
    Replies: 1
    Last Post: 03-01-2013, 08:49 AM
  5. Replies: 2
    Last Post: 01-24-2011, 04:29 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.