If a patient arrives at a hospital with a possible myocardial infarction and later fractures his hip, which present on admission indicator applies to the fracture?

The correct indicator for the hip fracture in this scenario is that it was not present at the time of inpatient admission. When a patient is admitted to a hospital, any condition they already have or have experienced is classified under the "present on admission" (POA) criteria. The myocardial infarction, which the patient presents with, is a condition that existed before admission.

However, the hip fracture occurred after the initial admission for the myocardial infarction. Since it was not a pre-existing condition upon the patient’s arrival at the hospital, it would be classified as "not present at the time of inpatient admission."

Other options such as Y (indicating it was present at admission) or W (where the provider cannot determine if it was present) are not applicable here because the fracture is a new injury acquired during the hospital stay. Additionally, documentation being insufficient (U) does not apply either, as the timeline of the events is clear: the fracture followed the admission for the myocardial infarction.

Thus, the indication that the hip fracture was not present at the time of admission is the accurate classification for this specific situation.