SOLVED687

Assign ICD-10-CM and ICD-10-PCS codes based on the scenario: The patient comes into the ER complaining of chest pain. After study, the physician noted an anterior STEMI. The patient has a long history of alcohol abuse. The patient quit cigarette smoking one year ago after a 30-year history. PTCA was performed with insertion of a drug-eluting stent. During the PTCA, the patient was noted to have CAD of the native artery with lipid rich plaque and chronic total occlusion of the LAD vessel. He also underwent a CABG of the LAD using left internal mammary artery, open. The patient was placed on a heart-lung machine (extracorporeal assistance) during the procedure. (hint: Diagnosis: Five. The STEMI is located where? For the order of your codes, place the two conditions the patient had in the past last. What was found during the PTCA? Based on coding guidelines, you can only code one of these conditions. HINT: there is an instructional note as “code first…” directing you to code what before this code?” Procedure: Three. The PTCA is done via a percutaneous approach. For the bypass graft, go to bypass > artery > coronary. There was no device used since they did not
SCIENCE
HEALTH SCIENCE
NURSING

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