Right cardiac catheterization showed occlusion

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Reference no: EM133875696

Question

Patient was admitted with ST-segment elevation myocardial infarction (MI). Right cardiac catheterization showed occlusion of the second diagonal branch between the two prior placed stents. The patient was taken to surgery for a percutaneous transluminal coronary angioplasty (PTCA) of the occluded vessel, with placement of two additional stents and integrilin intravenous drip and Plavix. There is significant history of hypertension, coronary artery disease (CAD), and PTCA with placement of stent, but no history of coronary artery bypass graft (CABG).

Final diagnoses and procedure: (1) Acute anterior wall MI due to CAD, (2) hypertension, (3) previous PTCA with stent, (4) angioplasty and stenting of diagonal branch.

First code the scenario assigning Principal, all Secondary and any appropriate Procedure codes, assign the Present On Admission (POA) Indicators and validate the DRG.

Reference no: EM133875696

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