AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 3; Ask the Editor

Non-ST Elevated Myocardial Infarction due to Coronary Artery Disease and In-Stent Restenosis

A patient was admitted secondary to an acute non-ST elevated myocardial infarction (NSTEMI) and underwent percutaneous coronary intervention. During the intervention, the previously placed stent in the right coronary artery (RCA) was dilated with a balloon. The distal marginal branch of the circumflex artery was then dilated and stented. The provider documented, “Severe two-vessel disease of the circumflex artery and RCA in-stent stenosis, NSTEMI due to native CAD and in-stent restenosis of the RCA.” Since ICD-10-CM classifies a NSTEMI due to CAD and an NSTEMI due to in-stent restenosis differently, is it appropriate to assign two codes to show both sources of the NSTEMI in this case? ...

To read the full article, sign in and subscribe to AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS .

Thank you for choosing Find-A-Code, please Sign In to remove ads.