Results 1 to 4 of 4

CAD/AMI question

  1. Default CAD/AMI question
    Medical Coding Books
    If a patient is admitted to a facility for chest pain and after careful study that patient is found to have a NSTEMI. The documentation indicates CAD or a history of CAD. I have seen CAD coded as prinicpal and the NSTEMI coded as the mcc. Is there a rule against this?

  2. Question
    If a patient is admitted to a facility for chest pain and after careful study that patient is found to have a NSTEMI. The documentation indicates CAD or a history of CAD. I have seen CAD coded as prinicpal and the NSTEMI coded as the mcc. Is there a rule against this?[/QUOTE]

  3. Default Ami/cad
    AMI should be coded as primary dx since the AMI is documented as the cause as the chest pain. Even though the pt has CAD, this may not be the reason for the pain. AMI is also the acute condition and the reason for admission according to the info given.

  4. Default
    You could find support for this in your Official ICD-9-CM Guidelines for Coding and Reporting, in the front section of your ICD-9-CM book; check the section relating to Selection of Principal/Primary Diagnosis.

    Linda Templeton, CCS-P, CPC, CPC-H

Similar Threads

  1. Aspiration of Thombus During AMI
    By RhondaJohnson in forum Cardiology
    Replies: 1
    Last Post: 09-12-2013, 01:26 PM
  2. AMI, Nontransmural vs Subendocardial
    By fredcpc in forum Cardiology
    Replies: 2
    Last Post: 02-11-2013, 09:07 PM
  3. AMI Dx Coding
    By fredcpc in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-08-2013, 03:33 PM
  4. 92941 PTCI during AMI
    By econnolly in forum Cardiology
    Replies: 1
    Last Post: 01-04-2013, 03:00 PM
  5. CAD S/P Ami w/PCI
    By JOgielo in forum Cardiology
    Replies: 4
    Last Post: 09-21-2010, 06:03 AM

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.