Coding, Classification & Reimbursement

1.  Troponin Icd 10 CM

Posted 3 days ago
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 3 days ago

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 2 days ago
​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 2 days ago
​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 8 hours ago
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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