AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 2; Ask the Editor

Myocardial Infarction and Non-Obstructive Coronary Artery

A patient presented with chest pain on exertion, and was found to have significant troponin elevation due to a non-ST elevation myocardial infarction (NSTEMI). Electrocardiograms showed sinus bradyarrhythmia with incomplete right bundle branch block, early repolarization, and no significant ST-T changes. Computed tomography coronary angiogram showed widely patent coronary arteries. The provider’s final diagnostic statement listed, “Myocardial infarction with non-obstructive coronary arteries (MINOCA).” What is the correct code assignment for a diagnosis of MINOCA? ...

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