ICD-10 Coding for Atherosclerotic Heart Disease(I25.10, I25.11, I25.7)
Complete ICD-10-CM coding and documentation guide for Atherosclerotic Heart Disease. 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
I25.1-I25.7Primary Range
Chronic Ischemic Heart Disease
This range includes codes for ASHD, specifying whether it involves native coronary arteries or bypass grafts, and the presence of angina.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris | Use when ASHD is confirmed in native coronary arteries without angina symptoms. |
|
| I25.11 | Atherosclerotic heart disease of native coronary artery with angina pectoris | Use when ASHD is confirmed in native coronary arteries with documented angina symptoms. |
|
| I25.7 | Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris | Use when ASHD involves bypass grafts with documented angina symptoms. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for ASHD without angina
Essential facts and insights about Atherosclerotic Heart Disease
Primary ICD-10-CM Codes for ashd
Decision Criteria
clinical Criteria
- Documented stenosis in native coronary arteries without angina
Applicable To
- ASHD without angina
Excludes
- ASHD with angina
- ASHD of bypass grafts
Clinical Validation Requirements
- Angiography showing ≥50% stenosis
- Absence of angina symptoms
Code-Specific Risks
- Misclassification if angina is present but undocumented
Coding Notes
- Ensure documentation specifies 'native coronary artery' and absence of angina.
I25.11 - Atherosclerotic heart disease of native coronary artery with angina pectoris
Use when ASHD is confirmed in native coronary arteries with documented angina symptoms.
Applicable To
- ASHD with stable or unstable angina
Excludes
- ASHD without angina
- ASHD of bypass grafts
Clinical Validation Requirements
- Angiography showing ≥50% stenosis
- Presence of angina symptoms
Coding Notes
Ensure documentation specifies 'native coronary artery' and type of angina.
I25.7 - Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris
Use when ASHD involves bypass grafts with documented angina symptoms.
Applicable To
- ASHD of bypass grafts with angina
Excludes
- ASHD of native coronary arteries
Clinical Validation Requirements
- Operative reports confirming graft location
- Imaging showing graft stenosis
Coding Notes
Ensure documentation specifies 'bypass graft' and type 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 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 patient condition., Regulatory: Non-compliance with coding standards., Financial: Potential underpayment due to incorrect DRG.
Mitigation Strategy
Review angina documentation, Ensure correct code selection
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement errors., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I25.7x for grafts; confirm with operative notes.
Impact
Reimbursement: Potential underpayment due to incomplete coding., Compliance: Failure to meet coding standards., Data Quality: Incomplete patient history documentation.
Mitigation Strategy
Add Z95.1 when grafts exist.
Impact
Incomplete angina documentation leading to incorrect coding.
Mitigation Strategy
Ensure detailed angina classification in patient records.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Atherosclerotic Heart Disease
Use these documentation templates to ensure complete and accurate documentation for Atherosclerotic Heart Disease. These templates include all required elements for proper coding and billing.
ASHD with stable angina
Specialty: CardiologyRequired Elements
- Patient history
- Angiography results
- Angina classification
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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