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ICD-10 Coding for ICD-10 Conversion(I25.111)

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

Also known as:

ICD-9 to ICD-10 TransitionICD-10 Implementation

Related ICD-10 Code Ranges

Complete code families applicable to ICD-10 Conversion

A00-Z99Primary Range

ICD-10-CM Code Range for All Conditions

Covers all medical conditions and diseases classified under ICD-10-CM.

Key Information: What is ICD-10 conversion?

Essential facts and insights about ICD-10 Conversion

ICD-10 conversion refers to the transition from ICD-9 to ICD-10 coding, enhancing specificity and accuracy in medical documentation.

Primary ICD-10-CM Code for conversion

Atherosclerotic heart disease with angina pectoris with spasm
Billable Code

Decision Criteria

clinical Criteria

  • Presence of coronary spasm confirmed by diagnostic testing.

Applicable To

  • Coronary artery spasm

Excludes

  • Angina pectoris without spasm

Clinical Validation Requirements

  • Confirmed via cardiac catheterization

Code-Specific Risks

  • Incorrect sequencing can lead to claim denials.

Coding Notes

  • Ensure documentation specifies coronary spasm.

Ancillary Codes

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

Chest pain, unspecified

R07.9
Use when etiology of chest pain is undetermined after cardiac workup.

Differential Codes

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

Unstable angina

I20.0
Use I20.0 when angina is not associated with coronary spasm.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting ICD-10 Conversion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.111.

Impact

Clinical: Inaccurate patient records., Regulatory: Non-compliance with ICD-10 standards., Financial: Potential claim denials.

Mitigation Strategy

Ensure detailed clinical documentation., Use templates for consistency.

Impact

Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with CMS guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure primary condition is coded first, followed by related conditions.

Impact

Lack of detailed documentation can lead to audit risks.

Mitigation Strategy

Implement thorough documentation practices and regular audits.

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 ICD-10 Conversion, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for ICD-10 Conversion

Use these documentation templates to ensure complete and accurate documentation for ICD-10 Conversion. These templates include all required elements for proper coding and billing.

Cardiology Progress Note

Specialty: Cardiology

Required Elements

  • Chief Complaint
  • Objective Findings
  • Assessment

Example Documentation

Chief Complaint: 'Crushing substernal chest pain radiating to left arm'. Objective Findings: Troponin I: 2.45 ng/mL, EKG: ST elevation, Echo: LVEF 35%. Assessment: STEMI (I21.02).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient presents with chest pain.
Good Documentation Example
Patient presents with crushing substernal chest pain radiating to left arm, confirmed by EKG showing ST elevation.
Explanation
The good example provides specific clinical details necessary for accurate coding.

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

Ask about any ICD-10 CM code, or paste a medical note

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