Question

A patient was admitted with a type 1 ST-segment elevation myocardial infarction (STEMI). Patient was found to have an occlusion of the second diagonal branch between the two previously placed stents. The patient was taken to surgery for a percutaneous transluminal coronary angioplasty (PTCA) of the occluded vessel, with placement of two non-drug eluting stents. Patient also has hypertension, coronary artery disease (CAD), and previous PTCA with placement of a stent, but no history of coronary artery bypass graft (CABG).

Final diagnoses and procedure: (1) Acute anterior wall MI due to CAD, (2) hypertension, (3) previous PTCA with stent, (4) angioplasty and stenting of diagonal branch.

Assign the appropriate diagnosis and procedure codes. ICD-10-CM and ICD-10-PCS

Answer 1

1, ICD-10-cm for acute anterior wall MI due to CAD - I21.09
This include infarct, infarction, myocardium(acute) anterior
2, Hypertension - R03.0(elevated blood pressure)
3, ICD-10-PCS(procedure code)
Previous PTCA with stent - 02703DZ
0-surgical
2-Heart and great vessels
7-dilation
0- coronary artery, one site
3-percutaneous
D- stent
Z- no qualifier
4, ICD-10-pcs code for Angioplasty and stenting of diagonal branch - 027034Z
0-surgical
2-heart and great vessel
7-dilation
0-coronary artery, one site
3-percutaneous
4- stent
Z- no qualifier