AHA Coding Clinic® for ICD-9 - 2012 Issue 3; Ask the Editor

Peripartum Cardiomyopathy

A 28-year-old female was admitted through the emergency department with chest pain due to peripartum cardiomyopathy with ejection fraction of 21% and congestive heart failure. The patient is approximately 2 to 3 months postpartum. She suffered dyspnea, edema of the lower extremity, and episodes of near syncope while pregnant. The symptoms worsened following delivery. Although the patient was on ACE inhibitors and beta blockers for cardiac protection, she was taken to surgery for implantation of a dual-chamber defibrillator. What are the diagnosis code assignments and sequencing for this admission? ...

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