'Department of Health and Human services, Victoria, Australia'

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ACS 0012 Suspected conditions

Publication Date: June 2007

ICD 10 AM Edition: Fifth edition

Retired Date: 30/6/2013

Query Number: 2307

A patient has an AMI and IHD is suspected. The patient is then transferred for an angiogram at a hospital that provides higher level care. Do we apply ACS 0012 Suspected conditions and code the IHD with a “transferred up” code or just the AMI?

Response

The VICC has assumed the enquirer has documentation of AMI as principal diagnosis and ? IHD as an additional diagnosis.

On that basis the VICC advises that I21.x would be the principal diagnosis and I25.9 Chronic ischaemic heart disease, unspecified and Z75.3 Unavailability and inaccessibility of health-care facilities could be assigned for the case cited, as per ACS 0012 Suspected conditions.