On Demand - 2024 CV ICD-10-CM Updates-Q&A

Q&A
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The document from MedAxiom entitled "Q&A 2024 CV ICD-10-CM UPDATES" discusses updates and clarifications regarding the coding of cardiovascular conditions in the ICD-10-CM system. Here are the key points summarized:<br /><br />**Pre-Op Cath and CAD (Q1):** When conducting a pre-operative catheterization and finding coronary artery disease (CAD), the ICD-10-CM guidelines suggest using the preoperative diagnosis code first, followed by the reason for the preop, and then any findings from the diagnostic catheterization.<br /><br />**CAD and Chest Pain (Q2):** If a patient with known CAD is seen for unrelated chest pain, both the CAD (I25.10) and chest pain (R07.9) should be reported if the pain is not related to the CAD.<br /><br />**CAD Diagnosis with Stenosis (Q3):** If a provider documents specific percentages of stenosis, it is sufficient to assign the CAD diagnosis code I25.10.<br /><br />**Myocardial Infarction (MI) Documentation (Q4):** Providers should clearly document the type of MI. For Type 2 myocardial infarctions or those due to demand ischemia, use I21.A1, whereas types 3, 4a-c, and 5 should be coded as I21.A9.<br /><br />**STEMI due to In-Stent Thrombosis (Q5):** For a STEMI caused by in-stent thrombosis post-PCI, report AMI type 4b (I21.A9) along with T82.855A as a secondary diagnosis.<br /><br />**Non-Rheumatic Valve Disease (Q6):** There is no combination code for non-rheumatic valve disease; separate codes should be used for non-rheumatic mitral (I34.x) and aortic (I35.x) diseases.<br /><br />**Difference between AFib and AFlutter (Q7):** Atrial fibrillation (AFib) involves disorganized electrical signals in the atria, whereas atrial flutter (AFlutter) involves organized but faster-than-normal signals. <br /><br />**Exacerbation of Heart Failure (Q8):** Acute exacerbation of chronic heart failure should be coded as acute on chronic CHF.<br /><br />**Right Ventricular CHF and Systolic HF (Q9):** Systolic heart failure is assumed to be left ventricular unless specified otherwise.<br /><br />**Combination Codes for Hypertension (Q10-Q11):** Only code conditions that are addressed in each visit. Query the provider for the correct hypertension code if renal artery stenosis and CHF are present.<br /><br />**Cardiorenal Disease Documentation (Q12):** Accurate reporting of cardiorenal disease requires specifying the type of renal disease.<br /><br />**Post-Stroke Reporting (Q13):** Use the appropriate stroke code from the I69 series based on documentation.<br /><br />**Sinus Bradycardia and SSS (Q14):** Sinus bradycardia is a symptom of Sick Sinus Syndrome (SSS) and should not be coded separately.<br /><br />**Accessing Updated Codes (Q15):** Updated code files can be accessed from the CDC or CMS websites.<br /><br />This comprehensive guide helps ensure accurate and precise coding for various cardiovascular conditions in the ICD-10-CM system.
Keywords
ICD-10-CM
cardiovascular
coding
coronary artery disease
myocardial infarction
heart failure
atrial fibrillation
hypertension
cardiorenal disease
stroke