ICD-10 Coding for Atherosclerosis(I25.10, I70.2-)
Complete ICD-10-CM coding and documentation guide for Atherosclerosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to 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 present in native coronary arteries without angina. |
|
| I70.2- | Atherosclerosis of arteries of extremities | Use for atherosclerosis affecting peripheral arteries. |
|
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
Essential facts and insights about Atherosclerosis
Primary ICD-10-CM Codes for atherosclerosis
Decision Criteria
clinical Criteria
- No angina symptoms present.
Applicable To
- Coronary artery disease without angina
Excludes
- Atherosclerosis with angina (I25.11-)
Clinical Validation Requirements
- Coronary angiography showing ≥50% stenosis
Code-Specific Risks
- Misclassification if angina is present but not documented.
Coding Notes
- Ensure documentation specifies absence of angina.
I70.2- - Atherosclerosis of arteries of extremities
Use for atherosclerosis affecting peripheral arteries.
Applicable To
- Peripheral artery disease
Excludes
- Diabetic peripheral angiopathy (E11.51)
Clinical Validation Requirements
- Ankle-brachial index ≤ 0.9
Coding Notes
Document specific artery and any associated symptoms or complications.
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 to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Potential audit risk., Financial: Denial of claims due to unspecified codes.
Mitigation Strategy
Use structured templates., Regular training on documentation standards.
Impact
Reimbursement: Incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure angina is documented and use I25.11- if present.
Impact
Use of unspecified codes without supporting documentation.
Mitigation Strategy
Ensure complete documentation of site and symptoms.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Atherosclerosis
Use these documentation templates to ensure complete and accurate documentation for Atherosclerosis. These templates include all required elements for proper coding and billing.
Atherosclerosis with stable angina
Specialty: CardiologyRequired Elements
- Site of atherosclerosis
- Presence and type of angina
- Risk factors like tobacco use
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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