Wiki Opinion on correct dx code HELP!!

[ChattRiskCoder]

Exam: Myocardial Perfusion Scan with Lexiscan
Clinical History: Endstage Renal Disease

Findings: Fixed thinning of the inferior wall is present . The anterolateral septal wall and apex show normal uptake at stress and rest.

gated images show an ejection fracture of 48%. There is no evidence of ischemia.

Impression:
No evidence of ischemia. Ejection fracture 48%
Fixed inferior wall thinning.

Coded = 78452-26
93018
585.6

What dx code would you have assigned?

 

[dclark7]

Why is the test being done? You can't use the ESRD as primary, there has to be a reason they are doing a cardiac test besides ESRD. You would have to query the provider for more info. Sometimes they do the test prior to transplant surgery in which case you would use a V code first and the ESRD second. In this example you just don't have enough info to assign a dx code.