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An elderly patient comes into the emergency department (ED) with shortness of breath. An ECG is performed The final diagnosis at discharge is impending myocardial infarction.
According to ICD-10-CM guidelines, how is this reported?
Suggested Answer: A
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For a comatose patient who has overdosed on tricyclic antidepressant drugs (doxepin, amoxapine, and clomipramine), the correct CPT code is 80366. This code covers drug testing for tricyclic antidepressants, which includes the specific drugs mentioned in the scenario.
AMA's CPT Professional Edition (current year)
33 comments · newest first
HO
Horace
10 months ago
Not sure about that, I thought it was I20.0 too.
AN
Annabelle
11 months ago
I20.0 is for angina, not MI.
JA
Jani
11 months ago
Wait, isn't R06.02 just for shortness of breath?
JO
Joni
11 months ago
Totally agree, I21.3 is the right code!
AU
Audry
11 months ago
I think it's I21.3 for impending MI.
EU
Eun
12 months ago
I believe the correct answer is D, I21.3 and R06.02, but I’m not entirely confident about the combination.
TH
Thurman
12 months ago
I’m a bit confused about the R06.02 code for shortness of breath. Do we need to include that with the main diagnosis?
GE
German
12 months ago
I feel like we practiced a question similar to this, and I think it involved using I21.3 for the myocardial infarction.
EL
Eleni
1 year ago
I think I remember that I20.0 is for angina, but I'm not sure if that's the right choice for impending myocardial infarction.
TR
Tran
1 year ago
I'm a little confused here. Is the shortness of breath considered the main diagnosis, or is it just a symptom of the impending myocardial infarction? I'm not sure if both codes are needed or if just the I20.0 is sufficient.
SH
Shanice
1 year ago
Okay, let me think this through step-by-step. The final diagnosis was impending myocardial infarction, which is I20.0. And the patient presented with shortness of breath, so I think the correct answer is C, I20.0 and R06.02.
EV
Evan
1 year ago
I'm pretty confident I know the right answer here. The key is to look at the final diagnosis of impending myocardial infarction, which would be coded as I20.0.
LA
Lavonda
1 year ago
Hmm, I'm a bit unsure on this one. The patient had shortness of breath, so I'm wondering if R06.02 for shortness of breath might also be needed.
EL
Elina
1 year ago
The combination of checking files and logging in sounds like it covers all bases, but option D feels a bit too comprehensive for the preparation phase, doesn't it?
CA
Carol
1 year ago
Definitely D. I21.3, R06.02. The guidelines are clear on coding both the underlying condition and the presenting symptom in a case like this. Easy peasy!
HO
Hoa
1 year ago
Thanks for clarifying. I'll remember that for next time.
DE
Devon
1 year ago
Actually, it's D) I21.3, R06.02. You need to code both the underlying condition and the presenting symptom.
YE
Yen
1 year ago
I always make sure to follow the guidelines closely when coding for cases like this.
LE
Lea
1 year ago
I think it's A) I20.0
RA
Raymon
1 year ago
Yes, that's correct. It helps provide a more accurate picture of the patient's condition.
FR
Frankie
1 year ago
I agree, it's important to code both the underlying condition and the presenting symptom.
ST
Stephania
1 year ago
Ha! I bet the exam writers are trying to trick us with these multiple-choice options. I'm going with D, but only because I'm feeling lucky today.
FE
Felicitas
1 year ago
Hmm, I'm not sure. I was thinking B. R06.02 since that's the code for shortness of breath, but the guidelines are tricky. Guess I'll have to review those ICD-10 rules again.
MA
Marylyn
1 year ago
C) I20.0, R06.02
MA
Makeda
1 year ago
A) I20.0
KA
Kattie
2 years ago
I see your point, but I think D) makes more sense because of the impending myocardial infarction diagnosis.
VA
Vallie
2 years ago
I think the correct answer is D. I21.3, R06.02 since the final diagnosis was impending myocardial infarction, and the symptom of shortness of breath should also be coded.
WH
Whitney
1 year ago
A: Hmm, I see your point. Maybe I should reconsider my answer.
PA
Paris
1 year ago
C: I agree with B. It makes sense to report both the diagnosis and symptom in this case.
AR
Aretha
1 year ago
B: I'm not sure about that. I think it might be C) I20.0, R06.02 because both the diagnosis and symptom are important to report.
HO
Hoa
1 year ago
A: I think the correct answer is D. I21.3, R06.02 since the final diagnosis was impending myocardial infarction, and the symptom of shortness of breath should also be coded.
LA
Lawrence
2 years ago
I disagree, I believe it should be A) I20.0.
KA
Kattie
2 years ago
I think the correct code is D) I21.3, R06.02.