CPMI-0420 - Sequence # 12360 | Patient Type-0420 - Sequence # 12360

Video Transcription

Video Summary

The video discussed a case scenario involving a 60-year-old male patient with a history of hypertension and diabetes. The patient presented to the emergency department with complaints of shortness of breath, increased chest pressure with exertion, and leg swelling. Lab tests showed rising troponin levels and the ECG revealed inverted T waves. A cardiology consult resulted in a diagnosis of NSTEMI. The patient was admitted to the Progressive Coronary Care Unit and underwent PCI the next day. However, shortly after the procedure, the patient experienced acute onset chest pain. An emergent STAT ECG showed STEMI, and the patient returned to the cath lab for urgent PCI. The video clarified that Sequence 12-360 Patient Type should be coded as NSTEMI when revascularization is performed for NSTEMI or unstable angina. Any subsequent STEMI is considered a complication and should be coded as Sequence 12-344 Myocardial Infarction if the criteria in the Data Dictionary are met. The credits for this information were not mentioned.

Keywords

NSTEMI

PCI

STEMI

complication

revascularization