Thursday, March 9, 2017

Scenario 4: Subsequent AMI (continued)

ICD-9-CM    Diagnosis Codes 
410.72           Subendocardial infarction, subsequent episode of care 
414.01           Coronary atherosclerosis of native coronary artery 
403.91           Hypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified 
585.9             Chronic kidney disease, unspecified 
443.9             Peripheral vascular disease, unspecified 
428.30           Diastolic heart failure, unspecified 
401.9             Hypertension, unspecified 
785.2             Undiagnosed cardiac murmurs
785.9             Carotid bruit 
496                Chronic airway obstruction, not elsewhere classified 
405.91           Unspecified renovascular hypertension 
440.1             Renal artery stenosis 
272.4             Other and unspecified hyperlipidemia 
305.1             Tobacco use disorder

ICD-10-CM Diagnosis Codes
I22.2   Subsequent non-ST elevation (NSTEMI) myocardial infarction 
I21.4       NSTEMI myocardial infarction 
I25.1Ø   Atherosclerotic heart disease of native coronary artery              without angina pectoris 
I12.9        Hypertensive chronic kidney disease stage 1 thru stage 4 chronic kidney disease, or unspecified chronic kidney disease 
N18.9        Chronic kidney disease, unspecified 
I5Ø.32        Chronic diastolic (congestive) heart failure 
I1Ø          Essential (primary) hypertension 
RØ1.1      Cardiac murmur, unspecified 
RØ9.89   Carotid bruit 
I73.9       Peripheral vascular disease, unspecified 
I15.Ø      Renovascular hypertension 
I70.1       Renal artery stenosis 
J44.9      Chronic obstructive pulmonary disease, unspecified 
E78.5      Hyperlipidemia, unspecified 
F17.21Ø Nicotine dependence, cigarettes, uncomplicated

Other Impacts 
The I12 category can be assumed when the documentation includes hypertension and chronic renal disease. The I11 category cannot be assumed between hypertension and heart disease unless the documentation supports a “cause and effect” relationship between the two such as a statement of “hypertensive heart disease” or “heart disease due to hypertension”.

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