Myocardial Infarction Part 3 - Coding of Myocardial Infarctions
Instructor
Beth Martilik, MA, RHIA, CDIP, CCSDescription
This course provides an in-depth exploration of the dynamic field of myocardial infarction coding using ICD-10-CM. Within this course, participants will delve into critical topics such as the diagnosis of myocardial infarction, differentiation between initial and subsequent infarctions, precise coding for various types including ST-elevation and non-ST-elevation, and the complexities of coding non-ischemic myocardial injuries. Additionally, comprehensive coding guidelines and valuable insights from Coding Clinic references relevant to myocardial infarction coding will be covered.
Pre-requisites for this course are: Myocardial Infarctions Part 1 and Myocardial Infarctions Part 2.
Included Lessons:
- Diagnosis of Myocardial Infarction
- Initial vs. Subsequent Myocardial Infarction
- Specificity of Myocardial Infarction
- A Word About Non-ischemic Myocardial Injury
- Coding Guidelines for Myocardial Infarction
- Coding Coding Clinic References For Myocardial Infarction Coding
CEUs available for the following credentials:
AHIMA
CCA, CCS, CCS-P, RHIT, RHIA, CDIP, CHDA, CHPS
Key Takeaways
Some key takeaways of this course include:
- Understanding of Myocardial Infarction Diagnosis: Coders will gain a comprehensive understanding of how myocardial infarctions are diagnosed, including the tools and criteria used in the diagnostic process.
- Differentiating Initial vs. Subsequent MI: Coders will learn how to differentiate between initial and subsequent myocardial infarctions and understand the changes in coding criteria from ICD-9 to ICD-10-CM.
- Specificity in Coding: Coders will become proficient in coding the specificity of myocardial infarctions, including distinguishing between ST-elevation MI (STEMI) and non-ST-elevation MI (NSTEMI) and specifying the affected heart wall and coronary artery involved.
- Non-Ischemic Myocardial Injury: Coders will be able to identify and correctly code cases of non-ischemic myocardial injury, including understanding when to sequence the underlying cause first.
- Coding Guidelines: Coders will be well-versed in the latest coding guidelines related to myocardial infarctions, ensuring accurate and compliant coding practices.
- Reference Utilization: Coders will learn how to effectively use Coding Clinic references related to myocardial infarction coding for additional insights and clarification.
- Application in Various Healthcare Settings: Coders will be equipped to apply their knowledge and skills in coding myocardial infarctions across different healthcare settings, including acute care, long-term care, and rehabilitation facilities.
Benefits of Taking this Course
- Enhanced Coding Proficiency
- Precise MI Coding
- Distinction Expertise (Initial/Subsequent)
- Enhanced Specificity Skills
- Non-Ischemic MI Proficiency
FAQs
What are some coding distinctions between ST-elevation MI (STEMI) and non-ST-elevation MI (NSTEMI)?
ICD-10-CM provides specific codes for STEMI, allowing for further specification of the heart wall and specific vessels involved. NSTEMI is coded differently, and there's also a Type 2 NSTEMI code.
How do I differentiate between an initial and subsequent MI in coding?
An initial MI is coded for the first episode of care during an acute MI within 4 weeks. Subsequent MIs are coded if another MI occurs within this 4-week period. After 4 weeks, any MI, even if it's a new occurrence, is coded as an initial MI.
What are the key changes in myocardial infarction coding between ICD-9 and ICD-10-CM?
In ICD-9, an MI was considered acute if it occurred within 8 weeks prior to admission. In ICD-10-CM, an acute MI is one that occurred within 4 weeks prior to admission. The coding of subsequent MIs has also changed, and codes from category I21 will continue to be reported for the duration of 4 weeks or less from onset, regardless of the healthcare setting.
About our Medical Coding Courses
HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a comprehensive online education platform for medical coders. With a catalog of over 200 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection approved by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPT, E/M, ICD-10-CM, ICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatient, outpatient, profee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CM, ICD-10-PCS, CPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams.
Disclaimer: This course is not available for individual sale. Purchase the Myocardial Infarction Training Plan below and get access to 3 total CEUs.
Overview
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