ICD-10 Coding for Coronary Artery Calcification(I25.84)
Complete ICD-10-CM coding and documentation guide for Coronary Artery Calcification. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coronary Artery Calcification
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for coronary artery disease, including calcified lesions.
Key Information: ICD-10 code for coronary artery calcification
Essential facts and insights about Coronary Artery Calcification
Primary ICD-10-CM Code for coronary artery calcification
Decision Criteria
clinical Criteria
- Presence of calcified lesions on imaging
coding Criteria
- Use I25.84 for calcified lesions, not I25.83
Applicable To
- Calcified coronary lesions
Excludes
- Lipid-rich plaque (I25.83)
Clinical Validation Requirements
- CT report with HU measurements
- Agatston score calculation
- Lesion location
Code-Specific Risks
- Misclassification with lipid-rich plaques
Coding Notes
- Ensure documentation specifies 'calcified lesion' with HU values.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
Z77.22Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Coronary atherosclerosis due to lipid-rich plaque
I25.83Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coronary Artery Calcification to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.84.
Impact
Clinical: Leads to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use specific terms like 'calcified lesion'., Include imaging details.
Impact
Reimbursement: Incorrect code may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies calcified lesions to use I25.84.
Impact
Risk of audits due to incorrect use of codes for coronary lesions.
Mitigation Strategy
Ensure documentation specifies lesion type and includes imaging evidence.
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 Calcification, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Artery Calcification
Use these documentation templates to ensure complete and accurate documentation for Coronary Artery Calcification. These templates include all required elements for proper coding and billing.
Patient with exertional angina and calcified lesions
Specialty: CardiologyRequired Elements
- Chief complaint
- Imaging results
- Agatston score
- Smoking status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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