![]() ![]() Bleeding or bleeding diathesis (excluding menses) Allergic reaction to alteplase, streptokinase, anistreplase, tenecteplase, or reteplase Known structural cerebral vascular lesion (e.g., AVM).Known malignant intracranial neoplasm (primary or metastatic).Bleeding or bleeding diathesis (excluding menses).Cardiopulmonary arrest, including: cardiac arrest, CPR, defibrillation, respiratory arrest, or ventricular fibrillation (V-fib), ventricular tachycardia (VT), or pulseless electrical activity (PEA) or, traumatic or prolonged (>10 minutes) CPR.Intubation, including endotracheal intubation, mechanical ventilation, nasotracheal intubation, or orotracheal intubation.Mechanical circulatory assist device placement, including: aortic balloon pump, biventricular assist device, intra-aortic balloon, intra-aortic balloon counterpulsation, intra-aortic counterpulsation balloon pump, left ventricular device, percutaneous ventricular assist device, or ventricular assist device.Within 24 hours before start of ED encounter and during ED encounter: Within 21 days before end of ED encounter: Significant facial and/or closed head trauma.Within 90 days before start of ED encounter: Allergic reaction to alteplase, streptokinase, anistreplase, tenecteplase, or reteplase.Patients with the following conditions are excluded from measure denominator: Percentage of emergency department (ED) encounters for patients 18 years and older with a diagnosis of ST-segment elevation myocardial infarction (STEMI) that received appropriate treatment, defined as fibrinolytic therapy within 30 minutes of ED arrival, percutaneous coronary intervention (PCI) within 90 minutes of ED arrival, or transfer within 45 minutes of ED arrivalĪll emergency department encounters for patients 18 years and older at the start of the encounter with a diagnosis of ST-segment elevation myocardial infarction (STEMI) during the measurement periodĪll emergency department encounters for patients 18 years and older at the start of the encounter with a diagnosis of ST-segment elevation myocardial infarction (STEMI) during an Emergency Department encounter that ends during the measurement period ICD-10-CM R09.89 is grouped within Diagnostic Related Group(s) (MS-DRG v40.Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED) Other symptoms and signs involving the circulatory and respiratory system respiratory failure of newborn ( P28.5). ![]() respiratory distress syndrome of newborn ( P22.0).respiratory arrest of newborn ( P28.81).acute respiratory distress syndrome ( J80).(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.(e) cases in which a more precise diagnosis was not available for any other reason.(d) cases referred elsewhere for investigation or treatment before the diagnosis was made.(c) provisional diagnosis in a patient who failed to return for further investigation or care.(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined.(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated.The conditions and signs or symptoms included in categories R00- R94 consist of:.8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification.This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded. ![]()
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