ICD-10 Coding for Atherosclerosis Coronary Artery Disease(I25.10, I25.11-)
Complete ICD-10-CM coding and documentation guide for Atherosclerosis Coronary Artery Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Atherosclerosis Coronary Artery Disease
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for chronic ischemic heart diseases, specifically atherosclerosis of coronary arteries.
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 present in native coronary arteries without angina symptoms. |
|
| I25.11- | Atherosclerotic heart disease of native coronary artery with angina pectoris | Use when atherosclerosis is present in native coronary arteries 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 atherosclerosis coronary artery disease
Essential facts and insights about Atherosclerosis Coronary Artery Disease
Primary ICD-10-CM Codes for atherosclerosis coronary artery disease
Decision Criteria
clinical Criteria
- Documented coronary artery stenosis without angina symptoms.
Applicable To
- Atherosclerotic cardiovascular disease
Excludes
- Atherosclerotic heart disease of native coronary artery with angina pectoris (I25.11-)
Clinical Validation Requirements
- Coronary angiography showing ≥70% stenosis
- Absence of angina symptoms
Code-Specific Risks
- Incorrectly coding when 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 present in native coronary arteries with documented angina symptoms.
Applicable To
- Atherosclerotic cardiovascular disease with angina
Excludes
- Atherosclerotic heart disease of native coronary artery without angina pectoris (I25.10)
Clinical Validation Requirements
- Documented angina symptoms
- Coronary angiography showing ≥70% stenosis
Coding Notes
Specify the type of angina (e.g., stable, unstable).
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 Atherosclerosis Coronary Artery 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: Leads to incomplete clinical picture., Regulatory: Non-compliance with documentation standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Use templates that prompt for angina status., Educate providers on documentation requirements.
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure angina status is clearly documented before coding.
Impact
Inadequate documentation of angina type can lead to audit issues.
Mitigation Strategy
Implement documentation templates that require angina status.
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 Atherosclerosis Coronary Artery Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Atherosclerosis Coronary Artery Disease
Use these documentation templates to ensure complete and accurate documentation for Atherosclerosis Coronary Artery Disease. These templates include all required elements for proper coding and billing.
Patient with stable angina and atherosclerosis
Specialty: CardiologyRequired Elements
- History of present illness
- Physical examination findings
- Diagnostic test results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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