Hi Alicia,
I have a question for you. There is a Coding Clinic that was published (2019 Issue 2) stating that we are to assign code R79.89, Other specified abnormal findings of blood chemistry, for an elevated troponin level and "Codes R77.9 and R74.8" are not appropriate as "troponin is neither a serum enzyme nor a plasma protein." https://www.findacode.com/code.php?set=ICD10CM&c=R77.8.
However, elevated troponin indexes to R77.8 (Other specified abnormalities of plasma proteins) by Elevated, elevation/troponin, so my question is do we code elevated troponin by what Coding Clinic says or do we code elevated troponin by the index? I have never come across this before where Coding Clinic says to code a condition one way but the condition is able to be indexed and codes another way.
I have a question for you. There is a Coding Clinic that was published (2019 Issue 2) stating that we are to assign code R79.89, Other specified abnormal findings of blood chemistry, for an elevated troponin level and "Codes R77.9 and R74.8" are not appropriate as "troponin is neither a serum enzyme nor a plasma protein." https://www.findacode.com/code.php?set=ICD10CM&c=R77.8.
However, elevated troponin indexes to R77.8 (Other specified abnormalities of plasma proteins) by Elevated, elevation/troponin, so my question is do we code elevated troponin by what Coding Clinic says or do we code elevated troponin by the index? I have never come across this before where Coding Clinic says to code a condition one way but the condition is able to be indexed and codes another way.