Coding, Classification & Reimbursement

Troponin Icd 10 CM

  • 1.  Troponin Icd 10 CM

    Posted 04-16-2018 15:49
    Hi i was wondering what is the correct DX for Elevated troponin?
    Based of what I've read troponin is a plasma protein.  But when i did a research people choose one of those ICD 10 CM code.
    which would be the correct code?

    R74.8
    R79.89
    R77.8

    Thank you in advanced

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    Bianca Leal
    MEDICAL CODER/BILLER
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  • 2.  RE: Troponin Icd 10 CM

    Posted 04-16-2018 15:55

    Elevated troponin really isn't a diagnosis – it's a laboratory result.  You need a physician interpretation of what it indicates.  I know there are codes for it but you may find issues with reimbursement.

     

     






  • 3.  RE: Troponin Icd 10 CM

    Posted 04-17-2018 05:07
    ​Hello,

    Our compliance team has advised us to use R79.89 when we have this as one of our diagnosis.

    Thanks,
    Angela

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    Angela Johnson
    ER Coder
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  • 4.  RE: Troponin Icd 10 CM

    Posted 04-17-2018 08:47
    ​Hello!

    You are correct.  Troponin is defined as a plasma protein.  Per the AAPC website and other sources, the correct code is R77.8.  I assume you are coding from a physician's diagnostic statement and not directly from labs.  I am not sure if you are coding for an inpatient record versus some other setting.  For inpatient, if the possible underlying reason for the elevated troponin is documented (usually an AMI) assign that code and do not code R77.8.  For other settings, assign R77.8.

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    Lawrence Barr
    President
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  • 5.  RE: Troponin Icd 10 CM

    Posted 04-19-2018 08:29
    According to a response we got back from AHA, elevated troponins would be coded as R74.8, Abnormal levels of other serum enzymes.
    (Ref. #50021463.617)

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    Nancy Martilik
    Asst. Director of Education
    Health Information Associates
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  • 6.  RE: Troponin Icd 10 CM

    Posted 07-31-2018 09:16
    Hello Nancy,

    Could you please share a bit more in terms of documentation from the AHA on the use of R74.8 for elevated troponin? I have been 'dinged' in an audit for having used this code, and need some sort of definitive proof. Thank you so much!

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    Melany Tupper
    CCC, CIRCC, CCS
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