CCC · AAPC
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How does ICD-10-CM treat a patient with hypertension and heart disease?
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Answer:
ICD-10-CM presumes a cause-and-effect relationship between hypertension and heart involvement, so both are reported with a combination code from category I11 unless the provider says they are unrelated.
Source: ICD-10-CM Official Guidelines, Section I.C.9.a.1
For how long after onset is an acute myocardial infarction considered acute in ICD-10-CM?
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Answer:
An AMI is coded as acute (I21) for four weeks from onset, including transfers to other facilities during that time.
Source: ICD-10-CM Official Guidelines, Section I.C.9.e
A patient has a new myocardial infarction within four weeks of a previous one. Which category reports the subsequent infarction?
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Answer:
A subsequent MI within four weeks of a prior AMI is reported with category I22, together with the appropriate I21 code for the initial infarction.
Source: ICD-10-CM Official Guidelines, Section I.C.9.e.4
Exam outline
Exam details are taken from AAPC's published materials. Always check the issuer for the latest rules.
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