ICD-10 Coding for Calcified Coronary Artery Disease(I25.84, I25.10)
Complete ICD-10-CM coding and documentation guide for Calcified 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 Calcified Coronary Artery Disease
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for various forms of coronary artery disease, including calcified lesions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.84 | Calcified coronary lesion | Use when calcification is the dominant feature in coronary artery disease. |
|
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris | Use when CAD is present without specific calcification documentation. |
|
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 calcified coronary artery disease
Essential facts and insights about Calcified Coronary Artery Disease
Primary ICD-10-CM Codes for calcified coronary artery disease
Decision Criteria
clinical Criteria
- Presence of calcified lesions on imaging
documentation Criteria
- Detailed description of calcification in medical records
Applicable To
- Calcified coronary artery disease
Excludes
- Lipid-rich plaque (I25.83)
Clinical Validation Requirements
- CCTA showing >50% stenosis with calcification
- Angiographic evidence of severe calcification
- IVUS/OCT-confirmed calcified plaque
Code-Specific Risks
- Misidentifying lipid-rich plaque as calcified lesion
Coding Notes
- Ensure documentation specifies calcification to avoid misclassification.
I25.10 - Atherosclerotic heart disease of native coronary artery without angina pectoris
Use when CAD is present without specific calcification documentation.
Applicable To
- Coronary artery disease
Excludes
- Calcified coronary lesion (I25.84)
Clinical Validation Requirements
- General CAD without specific plaque characterization
Coding Notes
Do not use alone if calcification is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Calcified Coronary Artery Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.84.
Impact
Clinical: Mismanagement of patient care., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms like 'calcified lesion'.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I25.84 when calcification is documented.
Impact
Incorrect use of I25.10 instead of I25.84.
Mitigation Strategy
Regular training on documentation specificity.
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 Calcified Coronary Artery Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Calcified Coronary Artery Disease
Use these documentation templates to ensure complete and accurate documentation for Calcified Coronary Artery Disease. These templates include all required elements for proper coding and billing.
Calcified coronary lesion with angina
Specialty: CardiologyRequired Elements
- Anatomical location of calcification
- Imaging findings
- Clinical symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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