AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Quarter 3; Ask the Editor
Cardiac Arrest with Cardiogenic Shock
When a patient is admitted and is diagnosed with both cardiac arrest and cardiogenic shock, how is this coded? ...
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Article Overview
This coding article explains the current ICD-10-CM guidance for a case involving both cardiac arrest and cardiogenic shock. It is intended for coders and compliance professionals who need to understand how the issue is currently handled and that the CDC/NCHS may consider the topic for future review. The article also references the ICD-10-CM coordination and maintenance process and an Excludes1 instruction under category I46.
Why This Topic Matters
Accurate diagnosis coding depends on current ICD-10-CM guidance and can affect claim reporting and code assignment consistency. This topic is relevant when multiple serious conditions are documented together and guidance may be subject to future revision.
What You Will Learn
- The current ICD-10-CM approach discussed for a case involving cardiac arrest and cardiogenic shock
- That the article notes a potential future review through the ICD-10 Coordination and Maintenance Committee process
- How the issue is framed in relation to an Excludes1 instruction in ICD-10-CM guidance
- The general rationale presented for choosing one diagnosis code over another in this scenario
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Revenue cycle professionals
- Clinical documentation professionals
Codes Discussed
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