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If a provider documents type 2 myocardial infarction (T2MI) due to demand ischemia, how should it be coded?
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Our cardiologists have stated that if type 2 myocardial infarction (T2MI) is documented, it should be coded to a non-ST elevation myocardial infarction (NSTEMI). We are trying to minimize the numbe...
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Would a type 2 myocardial infarction (T2MI) always be sequenced as the principal diagnosis?
...Sequencing w...
Per the American College of Cardiology and the American Heart Association, a patient with “stage A heart failure” is at risk to develop the condition, but does not have it yet. Is it appropriat...
No, it is no...
How should acutely decompensated congestive heart failure with diastolic or systolic dysfunction be coded in ICD-10-CM? There is no longer an index entry for diastolic/systolic dysfunction. For exa...
If the provi...
In the guideline for hypertension with heart disease, category I50, Heart failure, is included in the list of heart conditions that are classified as hypertensive heart disease, but it is not inclu...
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A patient presented with weakness of the right arm due to an old cerebrovascular accident (CVA). The provider documented, “h/o CVA with mild residual right arm weakness.” How would weakness of ...
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Can code Z51.5, Encounter for palliative care, be listed as the principal diagnosis or first-listed diagnosis when the reason for the encounter is to receive palliative care?
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Please clarify whether the chapter specific guidelines for Chapter 12 addressing an evolving pressure ulcer apply to home health reporting. The guideline states that if a patient is admitted with a...
The guidelin...
The patient was admitted for aspiration of the left ankle to rule out infection. The needle was inserted into the ankle joint but no fluid was found for aspiration. What is the procedure code assig...
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