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Thread: troponin

  1. #1
    Join Date
    Apr 2007
    Lewiston, ME

    Default troponin

    AAPC: Back to School
    ***** What would you use for a diagnosis for " mild troponin leak " ??
    PROCEDURE PERFORMED: Exercise treadmill test.
    INDICATION: Mild troponin leak.
    PROTOCOL: Bruce.
    TEST DURATION: 6 min and 17 seconds.

    FINDINGS: Peak heart rate of 173, which is actually above her predicted
    maximal heart rate at 7.0 METS.
    Symptoms: None.
    Test stopped due to: Heart rate response.
    Hemodynamic response: Baseline.
    Blood pressure: 172/80, rising to 204/84, peak exercise 210/60 early in
    Rest EKG: Sinus rhythm with mild nonspecific ST-segment depression,
    consistent with LVH or ischemia.
    Stress EKG: There was further ST-segment depression with stress. The
    remainder upsloping and because of the baseline changes and the upsloping
    nature, it is technically nonspecific.


    1. Limited exercise tolerance.
    2. Baseline hypertension that became aggravated with treadmill stress.
    3. Baseline electrocardiogram changes that became somewhat more impressive
    with stress.
    4. Patient did not develop chest pain at a high cardiac workload. This
    test does not have imaging confirmation of ischemic threshold and was
    suggested imaging test if there is a clinical indication for that.

  2. #2


    There is no ICD-9 code specific for elevated cardiac bimarker (troponin). So the consensus has been to use: 790.5 Other Nonspecific Abnormal Serum Enzyme Levels. Hope this helps

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