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Should I code for “ST and/or T wave abnormalities suggesting myocardial ischemia” (i.e. ST-depression) when an acute infarction (ST-segment injury) is also present?

April 26, 2017abnormalities code ischemia myocardial St suggesting t wave

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Should I code for “ST and/or T wave abnormalities suggesting myocardial ischemia” (i.e. ST-depression) when an acute infarction (ST-segment injury) is also present?

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No. Acute Q wave myocardial infarctions are suggested by the presence of Q waves and ST-elevation. Often reciprocal ST-depression is also seen. These ST-depressions are not indicative of ischemia, but exist as a consequence of the myocardial injury.