Takotsubo Cardiomyopathy w/Acute Pulmonary Edema - Coding

angela.clayberg@mwhc.comangela.clayberg@mwhc.com
in CDI Talk Archive
Hello,

What is your DRG assignment if you have "acute pulmonary edema 2/2 Takotsubo Cardiomyopathy, present on admission, resolved - with hyponatremia and heart cathterization? Thanks

Comments

  • ssalinasssalinas
    edited April 2016
    Good question depending on how you look at Takotsubo syndrome and definition of heart disease or failure.

    Acute pulmonary edema is included in the left ventricular failure code (I50.1) since there is an excludes note at J81.0 to not use with I50.1.

    However there is no excludes note for I51.81 (Takotsubo Syndrome). Is that because Takotsubo is generally transient with causes other than organic heart disease?

    With the pulmonary edema code, I get 286. Without it, I get 287.

    I would code the acute pulmonary edema for DRG 286.

    Interested in knowing how the CDI specialists feel about this.

    Sharon Salinas, CCS
    Health Information Management
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    FAX: 213-202-6490
    ssalinas@barlow2000.org

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