The Chest Pain in My Registry case scenario for August is reviewing sequence 12360, patient type. A 44-year-old male with a past medical history of long-standing hypertension and diabetes presented to the ED with shortness of breath and complained of increasing episodes of intense chest pressure. The ECG obtained was negative for stemming. The labs obtained demonstrated a rising troponin T with values of 0.025 ng per mL and a 0.033 ng per mL. The upper reference level was 0.04. The cardiologist assigned the clinical diagnosis of NSTEMI and the patient proceeded to the cath lab the following morning. Primary artery stenosis of 75% was found in the OM-1 and a drug-eluting stent was placed. The question is, the site submits all patient types and the patient meets inclusion criteria. How is sequence 12360, patient type, coded? 1. Low-risk chest pain. 2. NSTEMI. 3. 3. NSTEMI. 4. 4. Unstable angina. Please take a moment to review. The correct answer is number 4, unstable angina. The patient did not have a troponin value above the 99th percentile URL. Therefore, the patient did not meet the patient type definition for the NSTEMI patient type. In the absence of troponin elevation above 99th percentile, the patient is deemed to have unstable angina. Per the inclusion criteria document posted on August 9, 2019, patients who have a clinical diagnosis of NSTEMI at the conclusion of the episode of care but who do not meet the patient type definition of NSTEMI are abstracted in sequence 12360, patient type, as unstable angina. Thank you for viewing the Chest Pain MI Registry August case scenario regarding sequence 12360, patient type.

shortness of breath

chest pressure

NSTEMI

cath lab

coding question