Demand infarct
This is my week for questions, apparently. How would you code the term
"demand infarct"? Here is the exact wording from the discharge summary:
RIMARY DIAGNOSES:
1. Atrial fibrillation with atrial flutter with a 1 to 1 conduction.
2. Demand infarct, troponin leak from problem #1.
3. Chest wall tenderness, musculoskeletal.
4. Parkinson dementia.
5. Chronic diastolic congestive heart failure with ejection fraction of
55%. No signs of exacerbation.
BTW, troponin I was 0.643 and 0.637, c/w WHO criteria for MI.
Cathy Seluke, RN, BSN, ACM, CCDS
Supervisor Clinical Documentation Compliance
MaineGeneral Medical Center
Augusta and Waterville, Maine
(207) 872-1796
Cathy.Seluke@mainegeneral.org
"demand infarct"? Here is the exact wording from the discharge summary:
RIMARY DIAGNOSES:
1. Atrial fibrillation with atrial flutter with a 1 to 1 conduction.
2. Demand infarct, troponin leak from problem #1.
3. Chest wall tenderness, musculoskeletal.
4. Parkinson dementia.
5. Chronic diastolic congestive heart failure with ejection fraction of
55%. No signs of exacerbation.
BTW, troponin I was 0.643 and 0.637, c/w WHO criteria for MI.
Cathy Seluke, RN, BSN, ACM, CCDS
Supervisor Clinical Documentation Compliance
MaineGeneral Medical Center
Augusta and Waterville, Maine
(207) 872-1796
Cathy.Seluke@mainegeneral.org
Comments
Ann-Marie Carducci, RN, MPA, CPHM, CPHQ, CPC, CCS, CCDS
Director, Utilization Management
Montefiore Medical Center
914-377-4678 - Yonkers Office
718-904-2695 Einstein Office
917-574-6781 - Cell
email: acarducc@montefiore.org
If no additional clarification can be obtained, go with 411.89. To use this code make sure the physician states that this is an acute condition.
Francisca Wojciechowski, BS, RHiA, RHIT, CCDS