Angina and Chest Pain [Documentation Suggestions]
List history of conditions that might have caused pain (e.g., coronary artery disease, respiratory illness, trauma, ulcer disease, etc.).
Describe clinical signs and symptoms (e.g., substernal chest pain, pericardial pressure, heartburn, stabbing pain, localized tenderness, etc.).
Document work-up (e.g., EKG, serum cardiac markers, stress test, electrolytes, coronary arteriogram, chest x-ray, etc.).
Document treatment (e.g., morphine, O2, nitroglycerine, ASA, H2 blockers, heparin, etc.).
Note etiology (e.g., acute myocardial infarction, GERD, pleurisy, CAD, stress, etc.).
Specific type of angina (e.g., stable, unstable, post-infarction, etc.).
: "Reference Materials", Health Care Excel, Medicare Quality Improvement Organization, and contractor of the Centers for Medicare & Medicaid Services (downloaded from web site: