AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor

Myocardial Rupture Following Non-ST Elevation Myocardial Infarction

A patient with a recent non-ST elevated myocardial infarction (NSTEMI) was diagnosed with a myocardial rupture in the basilar wall. The myocardial rupture was diagnosed outside the 28-day post myocardial infarction (MI) period. Per coding guidelines, a code from category I22 must be used when a patient has a new acute myocardial infarction (AMI) within 4 weeks of an initial AMI. How is a myocardial rupture coded, when the condition was diagnosed outside of the 28-day period? ...

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