ICD-10 Coding for Coronary Artery Bypass Grafting(I25.10, I25.810)
Complete ICD-10-CM coding and documentation guide for Coronary Artery Bypass Grafting. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coronary Artery Bypass Grafting
I25.10-I25.9Primary Range
Chronic ischemic heart disease
Includes conditions related to coronary artery disease requiring bypass surgery.
Presence of cardiac and vascular implants and grafts
Used for documenting the presence of bypass grafts post-surgery.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris | When a patient has coronary artery disease without angina symptoms. |
|
| I25.810 | Atherosclerosis of coronary artery bypass graft(s) without angina pectoris | For patients with atherosclerosis in bypass grafts without angina. |
|
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 coronary artery bypass
Essential facts and insights about Coronary Artery Bypass Grafting
Primary ICD-10-CM Codes for coronary artery bypass
Decision Criteria
clinical Criteria
- No angina symptoms present
Applicable To
- Coronary artery disease without angina
Excludes
- Atherosclerosis of bypass grafts
Clinical Validation Requirements
- Coronary angiogram showing significant stenosis
- Absence of angina symptoms
Code-Specific Risks
- Misclassification if angina is present
Coding Notes
- Ensure documentation specifies absence of angina.
I25.810 - Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
For patients with atherosclerosis in bypass grafts without angina.
Applicable To
- Atherosclerosis of bypass grafts without angina
Excludes
- Atherosclerosis of native coronary arteries
Clinical Validation Requirements
- Angiogram showing graft stenosis
- No angina symptoms
Coding Notes
Document graft type and absence of angina.
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 Coronary Artery Bypass Grafting to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: Inaccurate clinical records, Regulatory: Potential audit issues, Financial: Denied claims or reduced reimbursement
Mitigation Strategy
Use standardized templates, Double-check operative notes
Impact
Reimbursement: Potential underpayment if fewer grafts are coded, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure each graft type and site is documented and coded separately.
Impact
Incomplete documentation of graft types and sites
Mitigation Strategy
Implement mandatory documentation checklists
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 Coronary Artery Bypass Grafting, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Artery Bypass Grafting
Use these documentation templates to ensure complete and accurate documentation for Coronary Artery Bypass Grafting. These templates include all required elements for proper coding and billing.
Standard CABG Procedure
Specialty: Cardiothoracic SurgeryRequired Elements
- Indication for surgery
- Graft details
- Post-operative status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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