Answer :
Final answer:
The coder should assign the ICD-10 code for silent myocardial ischemia to James Tedder's diagnosis after a stress ECG conducted by Dr. Franklin, as this code reflects the specific condition identified. Therefore, the correct option is b).
Explanation:
When diagnosing James Tedder, a 62-year-old male with chest tightness during activity, Dr. Franklin performs a stress ECG that confirms silent myocardial ischemia. In this medical case, the coder should assign the ICD-10 code for silent myocardial ischemia.
This is because the diagnosis is specific to the condition that has been identified through the stress test. Silent myocardial ischemia is a form of heart disease where there is a reduction of blood flow to the heart muscle, but without the typical symptoms such as chest pain.
Myocardial infarction (MI) or heart attack typically presents with chest pain and pressure, among other symptoms, but often silent myocardial ischemia does not manifest any symptoms, which can make it challenging to diagnose without specific tests like an ECG.
Since James Tedder's stress ECG confirmed silent myocardial ischemia, this directs the coding to the specific issue at hand rather than a more general code for chest pain, cardiovascular disease, or the procedure code for stress ECG.
