ICD-9-CM code for AMI follow-up office visit or hospitalization
When a patient follows up post hospitalization for AMI with his cardiologist what ICD-9 code does the cardiologist bill?
If it is within the 8 weeks (ICD-9)is it 410.72-Subendocardial infarction, subsequent episode of care?
Hospital readmission example:
Patient is admitted and treated with PTCA and DES for NSTEMI and then is discharged PDx 410.71 plus procedure codes 00.66 PTCA, 36.07 Insertion DES, 00.45 Insertion one vascular stent and 00.45 Procedure on single vessel.
Patient comes back 3 weeks later with chest pain and is admitted to the hospital. It is determined to be unstable angina and they put in another stent in another vessel.
Do you assign:
410.72 Subendocardial infarction, subsequent episode of care plus 411.1 the unstable angina and
414.01 the CAD of native vessel
plus the procedure codes?
Thanks,
Charlie Morell
If it is within the 8 weeks (ICD-9)is it 410.72-Subendocardial infarction, subsequent episode of care?
Hospital readmission example:
Patient is admitted and treated with PTCA and DES for NSTEMI and then is discharged PDx 410.71 plus procedure codes 00.66 PTCA, 36.07 Insertion DES, 00.45 Insertion one vascular stent and 00.45 Procedure on single vessel.
Patient comes back 3 weeks later with chest pain and is admitted to the hospital. It is determined to be unstable angina and they put in another stent in another vessel.
Do you assign:
410.72 Subendocardial infarction, subsequent episode of care plus 411.1 the unstable angina and
414.01 the CAD of native vessel
plus the procedure codes?
Thanks,
Charlie Morell
Comments
411.11 - Unstable Angina
410.72 - Subsequent Episode
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.637.9002
evanspx@sutterhealth.org
Jolene File,RHIT,CCS,CPC-H,CCDS
Documentation Improvement Specialist-Coder
Hays Medical Center
jolene.file@haysmed.com
IMPORTANT: This communication contains information from Hays Medical Center which may be confidential and privileged. If it appears that the communication was addressed or sent to you in error, you may not use or copy this communication or any information contained therein, and you may not disclose this communication or the information contained therein to anyone else. In such circumstances, please notify me immediately by reply email or by telephone. Thank you.