Thank you for viewing the Chest Pain MI Registry April Case Scenario Reviewing Sequence 12-360 Patient Type. In this scenario, we have a 60-year-old male with a past medical history of hypertension and diabetes who presented to the ED. The patient complained of shortness of breath and noticed increased chest pressure with exertion and leg swelling. Labs obtained demonstrated positive rising troponins. The ECG was negative for STEMI, however, inverted T waves were noted. A cardiology consult was obtained and NSTEMI was diagnosed. The patient was admitted to the Progressive Coronary Care Unit and underwent PCI the next morning. Shortly after the PCI procedure, the patient began complaining of acute onset chest pain. A STAT ECG demonstrated STEMI and the patient returned to the cath lab for emergent PCI. Question, how is Sequence 12-360 Patient Type coded? Is it 1. Low Risk Chest Pain? 2. NSTEMI? 3. STEMI? 4. Unstable Angina? Please take a moment to review. The answer is Sequence 12-360 Patient Type would be coded as NSTEMI. When revascularization is performed for other acute coronary syndrome, NSTEMI, or unstable angina, that relevant cardiac classification is identified in Sequence 12-360 Patient Type. This is outlined in the Inclusion Criteria document. When the patient type Sequence 12-360 is NSTEMI and the patient is revascularized, any subsequent STEMI is considered a complication. Please code as event occurred Sequence 12-344 Myocardial Infarction if the criteria on page 131 of the Data Dictionary is met. Thank you for viewing the April case scenario for the Chest Pain MI Registry.

NSTEMI

PCI

STEMI

complication

revascularization