Coding for Myocardial Infarctions (aka Heart Attacks) Rev. 08/09/2016

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Coding for Myocardial Infarctions (aka Heart Attacks) Rev. 08/09/2016 von Mind Map: Coding for Myocardial Infarctions (aka Heart Attacks) Rev. 08/09/2016

1. NSTEMI vs. STEMI Website

2. References

2.1. NSTEMI vs. STEMI Q&A Webinar

3. N

4. Old, healed, or past

4.1. Acute or Sudden Onset (aka AMI)

4.1.1. During Other Surgery

4.1.1.1. I97.791

4.1.2. Initial: Last MI more than 4 weeks (28 days) ago

4.1.2.1. Unspecified

4.1.2.1.1. I21.3

4.1.2.1.2. Use additional code, if applicable, to identify status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility

4.1.2.1.3. Use additional code, if applicable, to identify tobacco use and/or exposure

4.1.2.2. STEMI converts to NSTEMI due to thrombolytic therapy

4.1.2.3. NSTEMI: Non-ST elevation myocardial infarction

4.1.2.3.1. I21.4

4.1.2.3.2. Use additional code, if applicable, to identify status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility

4.1.2.3.3. Use additional code, if applicable, to identify tobacco use and/or exposure

4.1.2.4. STEMI: ST-elevation myocardial infarction

4.1.2.4.1. Anterior

4.1.2.4.2. Inferior

4.1.2.4.3. Other

4.1.2.4.4. Unspecified

4.1.2.4.5. Coded as a "STEMI" - see "STEMI" category

4.1.2.5. NSTEMI that evolves to STEMI

4.1.3. MI is less than 4 weeks (28 days) old

4.1.3.1. STEMI: ST-elevation myocardial infarction

4.1.3.1.1. NSTEMI: Non-ST elevation myocardial infarction

4.1.3.1.2. Anterior

4.1.3.1.3. Inferior

4.1.3.1.4. Other

4.1.3.1.5. Unspecified

4.1.3.2. Subsequent: Last MI less than 4 weeks (28 days) ago

4.1.3.2.1. Unspecified

4.1.4. MI is greater than 4 weeks (28 days) old

4.1.4.1. Patient requires continuing care for the MI

4.1.4.1.1. Appropriate aftercare code

4.1.4.2. Patient no longer requires care for the MI

4.1.4.2.1. See "Old, healed, or past"

5. I25.2

6. Intra-operative

7. I97.790

8. During Cardiac Surgery

8.1. Code for specific type of sudden onset MI

8.1.1. Code for specific type of sudden onset MI

9. Post-procedural

10. A52.06

10.1. Z16.21 Vancomycin

10.2. Resistance to other antibiotics

10.2.1. Following Other Surgery

10.2.2. Z16.20 Unspecified antibiotic

10.2.2.1. Z16.22 Vancomycin related antibiotics

10.2.3. Z16.24 Multiple antibiotics

10.3. Following Cardiac Surgery

10.3.1. I97.190

10.3.2. I97.191

10.4. Code for specific type of sudden onset MI

10.5. Z16.23 Quinolones and fluoroquinolones

11. Z16.12 Extended spectrum beta lactamase (ESBL)

12. Due to Syphilis

12.1. If applicable, Z16.- to identify resistance to antimicrobial drugs

12.1.1. Resistance to beta lactam antibiotics

12.1.1.1. Z16.10 Unspecified beta lactam antibiotics

12.1.1.2. Z16.11 Penicillins

12.1.1.3. Z16.19 Other specified beta lactam antibiotics

12.1.2. Z16.29 Other single specified antibiotics

12.1.2.1. Z16.30 Unspecified antimicrobial drugs

12.1.3. Resistance to other antimicrobial drugs

12.1.3.1. Z16.31 Antiparasitic drug(s)

12.1.3.2. Z16.32 Antifungal drug(s)

12.1.3.3. Z16.33 Antiviral drug(s)

12.1.3.4. Antimycobacterial drug(s)

12.1.3.4.1. Z16.341 Single

12.1.3.4.2. Z16.342 Multiple

12.1.3.5. Z16.35 Multiple antimicrobial drugs

12.1.3.6. Z16.39 Other specified antimicrobial drug