Please refer to the our article, ICD-10-CM Diseases of the Circulatory System, describing specific coding guidelines for cardiac diagnoses and conditions. Oblique marginal coronary artery (I21.21) Left anterior descending coronary artery (I21.02) For example, per the alpha index:Ĭoronary artery of anterior wall NEC (I21.09)Ĭoronary artery of inferior wall NEC (I21.19) NOTE FROM AUTHOR For Acute MIs, we can now identify the specific coronary artery impacted. If STEMI converts to NSTEMI due to thrombolytic therapy, it is still coded as STEMI. If NSTEMI evolves to STEMI, assign the STEMI code. Posterior (I21.29) (posterobasal) (posterolateral) (posteroseptal) (true) I21.29) Inferoposterior Transmural (Q wave) (I21.11) Inferior (I21.09) (diaphragmatic) (inferolateral) (inferoposterior) (wall) NEC (I21.19) ![]() Most MIs are considered to be ST-Elevation (STEMI) unless stated as Non-ST Elevation (NSTEMI) or Subendocardial.Īnterior (anteroapical) (anterolateral) (anteroseptal) (Q wave) (wall) (I21.09)
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