ICD-10 Coding for Atherosclerosis Heart Disease(I25.10, I25.118)
Complete ICD-10-CM coding and documentation guide for Atherosclerosis Heart Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Atherosclerosis Heart Disease
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for atherosclerotic heart disease affecting coronary arteries, both native and grafted.
Atherosclerosis
This range covers atherosclerosis affecting other arteries, which may be relevant for comprehensive cardiovascular assessment.
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. |
|
| I25.118 | Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris | Use when atherosclerosis in native coronary arteries is accompanied by 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 atherosclerosis heart disease with angina
Essential facts and insights about Atherosclerosis Heart Disease
Primary ICD-10-CM Codes for atherosclerosis heart disease
Decision Criteria
clinical Criteria
- No angina symptoms present
Applicable To
- Coronary artery disease without angina
Excludes
- Atherosclerotic heart disease with angina (I25.11-)
Clinical Validation Requirements
- Coronary angiography showing stenosis
- Absence of angina symptoms
Code-Specific Risks
- Misclassification if angina is present but not documented
Coding Notes
- Ensure documentation clearly states absence of angina.
I25.118 - Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
Use when atherosclerosis in native coronary arteries is accompanied by angina.
Applicable To
- Coronary artery disease with stable angina
Excludes
- Acute myocardial infarction (I21.-)
Clinical Validation Requirements
- Documented angina symptoms
- Positive stress test or imaging showing ischemia
Coding Notes
Ensure angina is documented as related to coronary artery disease.
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 Atherosclerosis 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: May lead to inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Review angina documentation requirements, Use checklists for clinical notes
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I25.11- series when angina is documented.
Impact
Inadequate documentation of angina type and severity.
Mitigation Strategy
Implement standardized documentation protocols.
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 Heart Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Atherosclerosis Heart Disease
Use these documentation templates to ensure complete and accurate documentation for Atherosclerosis Heart Disease. These templates include all required elements for proper coding and billing.
Stable Angina with Coronary Artery Disease
Specialty: CardiologyRequired Elements
- Angina characteristics
- Coronary artery involvement
- Diagnostic test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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