ICD-10 Coding for Chronic Ischemic Heart Disease(I25.1, I25.2)
Complete ICD-10-CM coding and documentation guide for Chronic Ischemic Heart Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Ischemic Heart Disease
I20-I25Primary Range
Ischemic Heart Diseases
This range includes all codes related to ischemic heart diseases, including chronic forms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.1 | Atherosclerotic heart disease of native coronary artery | Use when atherosclerosis of native coronary arteries is documented. |
|
| I25.2 | Old myocardial infarction | Use when documenting a past MI with no current symptoms. |
|
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 chronic ischemic heart disease
Essential facts and insights about Chronic Ischemic Heart Disease
Primary ICD-10-CM Codes for chronic ischemic heart disease
Decision Criteria
clinical Criteria
- Presence of atherosclerosis in native coronary arteries
Applicable To
- Atherosclerosis of native coronary artery
Excludes
- Acute myocardial infarction (I21.-)
Clinical Validation Requirements
- Coronary angiography showing ≥50% stenosis
- Documented history of CAD
Code-Specific Risks
- Misclassification if angina is not documented
Coding Notes
- Ensure documentation specifies native coronary artery involvement.
I25.2 - Old myocardial infarction
Use when documenting a past MI with no current symptoms.
Applicable To
- Myocardial infarction more than 28 days ago
Excludes
- Acute myocardial infarction (I21.-)
Clinical Validation Requirements
- Documented history of MI with no symptoms for ≥28 days
Coding Notes
Ensure the MI is documented as old and asymptomatic.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic systolic heart failure
I50.22Differential 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 Chronic Ischemic Heart Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.1.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure angina type is documented in the patient's record.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Upgrade to I25.11x if atherosclerotic heart disease with angina is documented.
Impact
Lack of specificity in documenting coronary artery disease.
Mitigation Strategy
Implement detailed documentation templates.
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 Chronic Ischemic Heart Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Ischemic Heart Disease
Use these documentation templates to ensure complete and accurate documentation for Chronic Ischemic Heart Disease. These templates include all required elements for proper coding and billing.
Stable angina with known CAD
Specialty: CardiologyRequired Elements
- Chief complaint
- Imaging results
- Laboratory findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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