ICD-10 Coding for Atherosclerotic Cardiovascular Disease(I25.10, I25.11)
Complete ICD-10-CM coding and documentation guide for Atherosclerotic Cardiovascular Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Atherosclerotic Cardiovascular Disease
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for atherosclerotic heart disease, which is the primary focus for this condition.
Atherosclerosis
This range covers atherosclerosis of various arteries, including peripheral arteries, which may be relevant in systemic atherosclerosis.
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 atherosclerosis is confirmed in native coronary arteries without angina. |
|
| I25.11 | Atherosclerotic heart disease of native coronary artery with angina pectoris | Use when atherosclerosis is confirmed in native coronary arteries with angina. |
|
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 atherosclerotic cardiovascular disease
Essential facts and insights about Atherosclerotic Cardiovascular Disease
Primary ICD-10-CM Codes for atherosclerosis cardiovascular disease
Decision Criteria
clinical Criteria
- Confirmed coronary artery stenosis without angina
Applicable To
- Coronary artery sclerosis
Excludes
- Atherosclerotic heart disease with angina pectoris (I25.11-)
Clinical Validation Requirements
- Imaging confirmation of coronary artery stenosis
- Absence of angina symptoms
Code-Specific Risks
- Misclassification if angina is present but not documented
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 atherosclerosis is confirmed in native coronary arteries with angina.
Applicable To
- Coronary artery disease with angina
Excludes
- Atherosclerotic heart disease without angina pectoris (I25.10)
Clinical Validation Requirements
- Documentation of angina symptoms
- Imaging confirmation of coronary artery stenosis
Coding Notes
Specify type of angina (stable, unstable) in documentation.
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 Cardiovascular 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: Inadequate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential revenue loss due to incorrect DRG
Mitigation Strategy
Use standardized templates, Regular training on documentation standards
Impact
Reimbursement: May lead to incorrect DRG assignment affecting reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient care.
Mitigation Strategy
Ensure documentation clearly states whether angina is present and its type.
Impact
Inadequate documentation of angina type can lead to audit discrepancies.
Mitigation Strategy
Implement detailed documentation protocols for angina.
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 Cardiovascular Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Atherosclerotic Cardiovascular Disease
Use these documentation templates to ensure complete and accurate documentation for Atherosclerotic Cardiovascular Disease. These templates include all required elements for proper coding and billing.
Patient with coronary artery disease and stable angina
Specialty: CardiologyRequired Elements
- Native artery involvement
- Angina type
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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