Patient is being seen for spastic angina pectoris She also has a documented

Patient is being seen for spastic angina pectoris she

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Patient is being seen for spastic angina pectoris. She also has a documented history of progressive coronary artery disease of the native vessels. I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm Explanation : Report the combination code for atherosclerotic heart disease (coronary artery disease) with angina pectoris. A causal relationship is assumed in a patient with both atherosclerosis and angina pectoris, unless the documentation indicates the angina is due to something other than the atherosclerosis. When using one of these combination codes, it is not necessary to use an additional code for angina pectoris. Embolic cerebral infarction of the right middle cerebral artery that occurred during hip replacement surgery. The surgeon documented as due to the surgery. I97.811 Intraoperative cerebrovascular infarction during other surgery I63.411 Cerebral infarction due to embolism of right middle cerebral artery Explanation : Code assignment for intraoperative or postprocedural cerebrovascular accident is based on the provider’s documentation of a cause-and-effect relationship between the condition and the procedure. Proper code assignment also depends on whether the cerebrovascular accident was an infarction or hemorrhage, occurred intraoperatively or postoperatively, and the type of procedure performed. Acute inferior NSTEMI evolved into STEMI I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall Explanation : If an NSTEMI converts to a STEMI, report only the STEMI code. Acute inferior subendocardial myocardial infarction (NSTEMI) I21.4 Non-ST elevation (NSTEMI) myocardial infarction Explanation : An AMI documented as subendocardial or nontransmural is coded as such (I21.4, I22.2), even if the site of infarction is specified. Acute inferior STEMI status post acute NSTEMI two weeks ago. I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall I21.4 Non-ST elevation (NSTEMI) myocardial infarction Explanation : A code from I22 must be used in conjunction with a code from I21 when a patient who has suffered an AMI has a new AMI within four weeks of the initial one. Category I22 is never reported alone. The guidelines for assigning the correct I22 code are the same as those for reporting the initial MI (I21). Sequencing is determined by the circumstances of the encounter.
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Chapter 10. Diseases of the Respiratory System ICD-10-CM 2017 Chapter 10. Diseases of the Respiratory System Guidelines and Examples ICD-10-CM 2017 451 Chapter 10. Diseases of the Respiratory System (J00–J99) Chapter Specific Guidelines with Coding Examples The chapter specific guidelines from the ICD-1 0 -CM Official Guidelines for Coding and Reporting have been provided below. Along with these guidelines are coding examples, contained in the shaded boxes, that have been developed to help illustrate the coding and/or sequencing guidance found in these guidelines.
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