ICD-10 Coding for Atherosclerotic Heart Disease of Native Coronary Artery Without Angina(I25.10)
Complete ICD-10-CM coding and documentation guide for Atherosclerotic Heart Disease of Native Coronary Artery Without Angina. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Atherosclerotic Heart Disease of Native Coronary Artery Without Angina
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for various forms of ischemic heart disease, including atherosclerosis of coronary arteries.
Key Information: What is ICD-10 code I25.10?
Essential facts and insights about Atherosclerotic Heart Disease of Native Coronary Artery Without Angina
Primary ICD-10-CM Code for 125.10 icd 10
Decision Criteria
clinical Criteria
- Confirmed atherosclerosis in native coronary arteries without angina symptoms.
documentation Criteria
- Explicit mention of 'native coronary artery' and 'without angina'.
Applicable To
- Coronary artery sclerosis
- Atherosclerosis of native coronary arteries without angina
Clinical Validation Requirements
- Coronary angiography showing plaque in native arteries
- CT angiogram confirming native vessel involvement
- Absence of angina symptoms
Code-Specific Risks
- Incorrectly coding when angina is present
- Assuming native artery involvement without confirmation
Coding Notes
- Ensure documentation specifies native coronary artery involvement and absence of angina.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Atherosclerotic Heart Disease of Native Coronary Artery Without Angina to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: Misrepresentation of the patient's condition., Regulatory: Potential audit issues., Financial: Incorrect reimbursement.
Mitigation Strategy
Verify artery type in documentation., Cross-check with surgical history.
Impact
Reimbursement: May lead to undercoding and affect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I25.11- if angina symptoms are documented.
Impact
Lack of specificity in documenting native artery involvement and angina status.
Mitigation Strategy
Implement thorough documentation practices and regular training.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Atherosclerotic Heart Disease of Native Coronary Artery Without Angina, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Atherosclerotic Heart Disease of Native Coronary Artery Without Angina
Use these documentation templates to ensure complete and accurate documentation for Atherosclerotic Heart Disease of Native Coronary Artery Without Angina. These templates include all required elements for proper coding and billing.
Routine Cardiology Follow-up
Specialty: CardiologyRequired Elements
- Patient history
- Imaging results
- Symptom assessment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Atherosclerotic Heart Disease of Native Coronary Artery Without Angina? Ask your questions below.