Tako-tsubo

wchenneywchenney
in CDI Talk Archive
We are having a controversy with our cardiologists vs coders in the
proper coding of Tako-tsubo. Cardiology wants it to be coded as a
non-plaque MI as they state there are now 5 different types of MI's
(which I did pull up the data on). Coding clinic takes it to
cardiomyopathy. Cards states you can have both Tako-tsubo and
AMI-coding will not code both-any help??

wchenney@parmahospital.org



Wendy R. Chenney RN BSN

Clinical Documentation Coordinator

(440) 743-4533

Fax: (440) 743-4552

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Comments

  • catladyrncatladyrn
    Takotsubo syndrome has its own code and its own coding clinic in 4Q06. It goes to 429.83 and DRG 316. IMO, if your cardiologists want the coders to code an AMI, they need to document an AMI. It's not unlike the cardiologists writing ACS when they mean NSTEMI, which is correct under cardiology standards but comes out to unstable angina when coded. The coding rules don't match up with the current cardiology standards for whatever reason, and that's just the way it is.

    Renee


    Linda Renee Brown, RN, CCRN, CCDS
    Certified Clinical Documentation Specialist
    Banner Good Samaritan Medical Center
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    If both are documented, both are coded. There is a separate code for
    each. One of the basic principles of coding is that each case is coded
    as specifically are 'required' in order to fully report the condition(s)
    pertinent.



    Paul Evans, RHIA, CCS, CCS-P

    Supervisor, Clinical Documentation Integrity, Quality Department

    California Pacific Medical Center

    2351 Clay #243

    San Francisco, CA 94115

    Cell: 415.637.9002

    Fax: 415.600.1325

    Ofc: 415.600.3739

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