ICD-10 Coding for CABG Status(Z95.1, T82.211A)
Complete ICD-10-CM coding and documentation guide for CABG Status. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to CABG Status
Z95.1Primary Range
Presence of aortocoronary bypass graft
Indicates the presence of a CABG without active complications.
Mechanical breakdown of aortocoronary bypass graft
Used for complications related to CABG, such as mechanical breakdown.
Atherosclerosis of native coronary artery of transplanted heart with angina pectoris
Used when there is native coronary artery disease in the presence of a CABG.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z95.1 | Presence of aortocoronary bypass graft | Use when documenting the presence of a CABG without complications. |
|
| T82.211A | Mechanical breakdown of aortocoronary bypass graft, initial encounter | Use for initial encounter of mechanical breakdown of the graft. |
|
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 CABG status
Essential facts and insights about CABG Status
Primary ICD-10-CM Codes for cabg status
Decision Criteria
clinical Criteria
- Patient has a history of CABG with no current complications.
Applicable To
- Status post-CABG
Excludes
- Complications of CABG (T82.211-)
Clinical Validation Requirements
- Operative report confirming CABG
- Current imaging showing graft patency
Code-Specific Risks
- Incorrectly using for active complications.
Coding Notes
- Ensure documentation specifies the presence of the graft without complications.
T82.211A - Mechanical breakdown of aortocoronary bypass graft, initial encounter
Use for initial encounter of mechanical breakdown of the graft.
Excludes
- Presence of aortocoronary bypass graft (Z95.1)
Clinical Validation Requirements
- Angiography showing graft stenosis
- Elevated cardiac biomarkers
Coding Notes
Ensure documentation specifies the encounter type and details of the breakdown.
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 CABG Status to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z95.1.
Impact
Clinical: Inaccurate clinical picture, Regulatory: Potential audit issues, Financial: Reduced reimbursement
Mitigation Strategy
Standardize documentation templates, Regular training for clinical staff
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use T82.211- codes for complications.
Impact
Misclassification of CABG complications as status codes.
Mitigation Strategy
Regular audits and coder education.
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 CABG Status, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for CABG Status
Use these documentation templates to ensure complete and accurate documentation for CABG Status. These templates include all required elements for proper coding and billing.
Routine CABG follow-up
Specialty: CardiologyRequired Elements
- Graft configuration
- Patency confirmation
- Symptom correlation
- Functional status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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