ICD-10 Coding for Atherosclerotic Vascular Disease(I25.10, I70.213)
Complete ICD-10-CM coding and documentation guide for Atherosclerotic Vascular Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Atherosclerotic Vascular Disease
I25.1-I25.9Primary Range
Atherosclerotic heart disease of native coronary artery
This range covers coronary artery disease with and without angina.
Atherosclerosis of other arteries
This range includes atherosclerosis affecting peripheral arteries, such as the legs and renal 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 coronary arteries without angina symptoms. |
|
| I70.213 | Atherosclerosis of native arteries of extremities with intermittent claudication | Use when atherosclerosis causes claudication in the extremities. |
|
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 vascular disease
Essential facts and insights about Atherosclerotic Vascular Disease
Primary ICD-10-CM Codes for atherosclerotic vascular disease
Decision Criteria
clinical Criteria
- Absence of angina symptoms
Applicable To
- Coronary artery disease without angina
Excludes
- Atherosclerotic heart disease with angina (I25.11-)
Clinical Validation Requirements
- Coronary angiography showing atherosclerosis
- No documented angina symptoms
Code-Specific Risks
- Risk of under-coding if angina is present but not documented
Coding Notes
- Ensure angina status is clearly documented to avoid incorrect coding.
I70.213 - Atherosclerosis of native arteries of extremities with intermittent claudication
Use when atherosclerosis causes claudication in the extremities.
Applicable To
- Peripheral artery disease with claudication
Excludes
- Atherosclerosis with ulceration or gangrene (I70.23-)
Clinical Validation Requirements
- Ankle-brachial index (ABI) ≤0.90
- Documented claudication symptoms
Coding Notes
Document ABI and claudication symptoms clearly.
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 Vascular 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 inappropriate treatment decisions., Regulatory: Increases risk of audit findings., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use checklists for documentation, Regular training for clinical staff
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Leads to poor data quality and inaccurate patient records.
Mitigation Strategy
Ensure detailed documentation to support specific code selection.
Impact
High risk of audit when unspecified codes are used for atherosclerosis.
Mitigation Strategy
Ensure detailed documentation and use of specific codes.
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 Vascular Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Atherosclerotic Vascular Disease
Use these documentation templates to ensure complete and accurate documentation for Atherosclerotic Vascular Disease. These templates include all required elements for proper coding and billing.
Patient with coronary artery disease and unstable angina
Specialty: CardiologyRequired Elements
- Angina type
- Diagnostic test results
- Risk factors
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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