AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 1; Ask the Editor

Cardiac Arrest Prior to Hospitalization

A 67-year-old patient went into cardiac arrest at home. The patient was resuscitated by emergency medical services (EMS) and was awake and oriented upon arrival at the emergency department (ED). In the ED, the patient was placed on a cardiac monitor and pulse oximetry. An EKG was performed and confirmed a complete heart block. The patient was subsequently admitted to undergo an emergency pacemaker placement in the cardiac catheterization laboratory. Is it appropriate to assign a code from category I46, Cardiac arrest, or should code Z86.74, Personal history of sudden cardiac arrest, be assigned when a patient has a cardiac arrest outside of the hospital and is resuscitated prior to admission? ...

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