Angina 411 and 413 ICD 9 CM Angina 411 413 o Chest pain due to ischemia of the

Angina 411 and 413 icd 9 cm angina 411 413 o chest

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Angina (411 and 413) ICD-9-CM Angina (411, 413) o Chest pain due to ischemia of the heart o Subcategory 411.1, Unstable angina o Category 413, Angina pectoris Sequencing rules o Known cause of angina is sequenced first o Angina may not be coded when considered an inherent part of the condition
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32 Chronic Ischemic Heart Disease (414) ICD-9-CM Coronary arteriosclerosis or arteriosclerotic heart disease (414.0) o Fifth digit used to identify whether the arteriosclerosis is present in a native artery or in a bypass graft 414.00, Coronary artery disease with no information in the record as to location of disease 414.01, Coronary artery disease in a patient with no history of coronary artery bypass surgery
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33 Chronic Ischemic Heart Disease (414) (continued) ICD-9-CM Coronary arteriosclerosis (414.0) 414.02, Coronary artery disease in an autologous vein bypass graft 414.03, Coronary artery disease in a nonautologous vein bypass graft 414.04, Coronary artery disease in an internal mammary artery used for a bypass graft 414.05, Coronary artery disease in a bypassed vessel but not known if graft was arterial or venous
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34 Chronic Ischemic Heart Disease (414) (continued) ICD-9-CM Chronic total occlusion of coronary artery (414.2) Used as an additional diagnosis code Used to code the patient with coronary atherosclerosis who has a complete blockage of a coronary artery Increased risk of myocardial infarction or death Treated with angioplasty and/or coronary stent placement but procedure is more difficult in patients with chronic total occlusion of the coronary artery
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35 Chronic Ischemic Heart Disease (414) (continued) ICD-9-CM Coronary atherosclerosis due to lipid rich plaque (414.3) Used to code the patient with coronary atherosclerosis due to a specific form of plaque within the vessel Important information for the cardiologist to determine the most appropriate type of stent to place within the vessel Code used in addition to a code for the location and type of coronary atherosclerosis that exists in the patient (414.00–414.07)
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36 Heart Failure—ICD-9-CM Heart failure is the heart’s inability to contract with enough force to properly pump blood Cause may be coronary artery disease, past myocardial infarction, cardiomyopathy, hypertension, or heart valve disease Three effects: o Pressure in the lungs is increased o Kidney function is hampered o Blood is not properly circulated throughout the body
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37 Heart Failure (continued)—ICD-9-CM Signs and symptoms are not coded in addition to heart failure o Sudden weight gain, Shortness of breast o Walking up breathless at night, trouble sleeping o Cough especially when lying down o Increased fatigue and weakness o Dizziness and fainting o Swollen feet, ankles, legs o Nausea with abdominal swelling, pain, tenderness
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38 Heart Failure (continued)—ICD-9-CM Left-sided Heart Failure o Left side of heart must work harder to pump blood o Systolic heart failure occurs when left ventricle loses its ability to contract normally. Heart cannot pump blood with sufficient force to push blood into circulation o Diastolic heart failure is when left ventricle loses its ability to relax and heart cannot fill with blood during resting period between each beat
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