Cardiac troponin version 3.1 training. Sequence 15446, troponin not drawn, seeks to capture the rare instances when a troponin may not be drawn. Sequence 15456, troponin protocol, seeks to capture the troponin protocol used by your facility between arrival at your facility and discharge. These provide the hourly increment identified in the hospital's protocol. This is not coded based on when the troponin specimen was actually drawn and or resulted. The troponin protocol has been defined as follows. STEMI protocol, the patient has been diagnosed with a STEMI by ECG and limited troponins were drawn. The zero to one hour protocol specifies the second specimen be drawn one hour after the initial specimen. The zero to two hours protocol specifies the second specimen drawn two hours after the initial specimen. The zero to three hours protocol specifies the second specimen be drawn three hours after the initial specimen. Zero to six hours protocol specifies the second specimen drawn six hours after the initial specimen. Not documented indicates a troponin protocol was not initiated and or the use of one was not documented. Let us review a case scenario regarding sequence 15456, troponin protocol. The facility's troponin protocol states it is using the zero to one hour troponin protocol. The troponins were drawn at 610 AM upon arrival and then again at 740 AM. Our question is how is sequence 15456 troponin protocol coded? Number one, STEMI. Number two, zero to one hour. Number three, zero to two hours. Number four, zero to three hours. Number five, zero to six hours. Or number six, not documented. The answer is number two, zero to one hour as sequence 15456 troponin protocol is not coded based on when the troponin specimen was actually drawn and or resulted. Even when the specimen drawn does not meet the facility's stated protocol. Sequence 15456 troponin protocol is coded based on the actual troponin protocol documented at your facility. Sequence 15558 troponin value seeks to capture the documented troponin value with the appropriate unit of measure which has been expanded to include micrograms per milliliter and picograms per mil. In addition to nanograms per milliliter, nanograms per liter, and micrograms per liter between first medical contact and discharge, please note that if the value is reported using a less than sign, record the number only.

cardiac troponin version 3.1 training

sequences 15446

sequences 15456

sequence 15558

troponin protocol