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ICD-10 Coding for Cardiac Catheterization(I25.10)

Complete ICD-10-CM coding and documentation guide for Cardiac Catheterization. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Heart CathCoronary Angiography

Related ICD-10 Code Ranges

Complete code families applicable to Cardiac Catheterization

I20-I25Primary Range

Ischemic Heart Diseases

This range includes conditions often evaluated or treated with cardiac catheterization.

Presence of coronary angioplasty implant and graft

Used for patients with a history of coronary interventions.

Key Information: ICD-10 code for cardiac catheterization

Essential facts and insights about Cardiac Catheterization

The ICD-10 code for cardiac catheterization is I25.10, used for documenting coronary artery disease without angina.

Primary ICD-10-CM Code for cardiac cath

Atherosclerotic heart disease of native coronary artery without angina pectoris
Billable Code

Decision Criteria

clinical Criteria

  • Documented coronary artery disease without angina symptoms

Applicable To

  • Coronary artery disease

Excludes

  • Acute myocardial infarction

Clinical Validation Requirements

  • Coronary angiography findings
  • Clinical symptoms of ischemia

Code-Specific Risks

  • Misclassification if angina is present

Coding Notes

  • Ensure documentation supports absence of angina.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Presence of coronary angioplasty implant and graft

Z95.5
Use to indicate history of coronary intervention.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Unspecified angina pectoris

I20.9
Presence of chest pain or discomfort.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Cardiac Catheterization to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.

Impact

Clinical: Incomplete assessment of cardiac function., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Ensure all pressure measurements are documented.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on procedure types.

Mitigation Strategy

Use 93454-93458 for procedures involving coronary injections.

Impact

Missing key elements such as pressure measurements or coronary findings.

Mitigation Strategy

Use standardized templates to ensure all elements are documented.

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 Cardiac Catheterization, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Cardiac Catheterization

Use these documentation templates to ensure complete and accurate documentation for Cardiac Catheterization. These templates include all required elements for proper coding and billing.

Diagnostic Cardiac Catheterization

Specialty: Cardiology

Required Elements

  • Indication for procedure
  • Access site
  • Hemodynamic measurements
  • Coronary findings
  • Fluoroscopy time

Example Documentation

Indication: Evaluation of atypical chest pain. Access: Right radial approach. LV pressure: 120/15 mmHg. Findings: 80% lesion in proximal LAD.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Left heart cath performed.
Good Documentation Example
6F Judkins catheter advanced across aortic valve. LV pressure 150/18 mmHg. Coronary angiography revealed 70% mid-LAD lesion.
Explanation
The good example provides specific procedural details and findings.

Need help with ICD-10 coding for Cardiac Catheterization? Ask your questions below.

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