THE ROAD TO ICD-10 ACUTEDYSRH YTMYOCARDIALHMIA INFARCTIONAND

The ICD-10 Documenter Series

The following are important documentation tips and strategies for this disease/condition as required by the specificity needed in ICD-10:

Disorders of the cardiac conduction system require very specific • Identify the site of the AMI (e.g., anterolateral, inferoposterior documentation such as: transmural, posteroseptal, etc.). - – identify the underlying cause (e.g., trauma, AMI, etc.).

-• Detail Paroxysmal the tachycardiatiming of MIs – provide (e.g., lateralthe type MI (e.g., 12/01/2011 re-entry, supraventricular, and ventricular) septal MI 12/14/2011).and underlying Subsequentcause (e.g., illicit MIs drug are use,defined hyperkalemia, as etc.). occurring within 28 days of a previous MI. - Atrial and flutter – differentiate if patient has one or both and list the underlying cause (e.g., HTN, hyperthyroidism, alcohol • Provide consumption, information etc.). regarding tPA administration in a different facility within 24 hours of admission to the current facility. - Atrioventricular and left bundle-branch block – specify the type/location (e.g., first, second, third, anterior, posterior, etc.) and underlying cause • Record specific conditions that develop within 28 days (e.g., Digoxin, AMI, , , etc.). following an AMI (e.g., , post infarction - Other , conduction thrombosis disorders of atrium – indicate or , the type etc.). (e.g., bifascicular, trifascicular, long QT syndrome, etc.) and underlying cause (e.g., • Delineate hypomagnesemia, acute coronaryAmiodarone, syndrome , and acute etc.). ischemic - Other disease cardiac from a true MI (e.g.,– specify MI theversus type unstable(e.g., ventricular angina fibrillation, leading ventricular to the ACS). flutter, sick sinus syndrome, PACs, etc.) and underlying cause (e.g., Calan, pulmonary emboli, hypothermia, etc.).

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