CPMI-0224 - Sequence # 15521 | Left Ventricular EF Assessed and Sequence # 12307 | LVEF Measurement-O224 - Sequence # 15521 | Left Ventricular EF Assessed and Sequence # 12307

O224 - Sequence # 15521 | Left Ventricular EF Assessed and Sequence # 12307 | LVEF Measurement

Video Transcription

Video Summary

In this case scenario, an 85-year-old male presents with chest pain and is admitted to the emergency department. The EMS ECG was negative for STEMI, and the physician determined it to be non-emergent. The patient was admitted to telemetry after a positive troponin result. A coronary angiogram was performed the next day, and although a PCI was not indicated, the physician documented that the patient had an LVEF of 35% from a previous examination. However, this LVEF value cannot be coded as per the coding instructions. The scenario emphasizes the importance of assessing LVEF for therapeutic and prognostic reasons in patients with acute AMI. The assessment of LVEF is at the provider's discretion, and a medical or patient reason must be documented if it is not done. LVEF measurement is crucial in guiding treatment decisions and predicting long-term survival following acute MI.

Keywords

coding

cerebral performance category

CPC score

cardiac arrest

medical record

chest pain

emergency department

ECG

troponin

coronary angiogram