AHA Coding Clinic® for ICD-9 - 2009 Issue 3; Ask the Editor

Acute Myocardial Infarction (Hospital A) Transferred to Hospital B for Coronary Intervention

The patient was transferred to Hospital B following a one-week stay in Hospital A for an acute inferior wall myocardial infarction (MI). At hospital B, the patient continued to receive treatment for the MI, cardiac catheterization was performed, which demonstrated occlusive disease in the left anterior descending artery with 99% narrowing and coronary artery bypass grafting was carried out. The provider’s final diagnostic statement at Hospital B listed, “Acute inferior wall MI due to severe coronary atherosclerosis.” What is the appropriate the principal diagnosis for Hospital B? ...

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