ICD-10 Coding for Coronary Artery Disease Due to Lipid-Rich Plaque(I25.83)
Complete ICD-10-CM coding and documentation guide for Coronary Artery Disease Due to Lipid-Rich Plaque. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coronary Artery Disease Due to Lipid-Rich Plaque
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for chronic ischemic heart diseases, including coronary atherosclerosis due to lipid-rich plaque.
Key Information: ICD-10 code for coronary artery disease due to lipid-rich plaque
Essential facts and insights about Coronary Artery Disease Due to Lipid-Rich Plaque
Primary ICD-10-CM Code for coronary artery disease due to lipid rich plaque
Decision Criteria
clinical Criteria
- Lipid core burden index ≥4.0 on OCT
documentation Criteria
- Explicit mention of 'lipid-rich plaque' in medical records
Applicable To
- Atherosclerosis of coronary artery due to lipid-rich plaque
Excludes
- Coronary atherosclerosis due to calcified coronary lesion (I25.84)
Clinical Validation Requirements
- OCT findings showing lipid core burden index ≥4.0
- Imaging confirmation of lipid-rich plaque
Code-Specific Risks
- Misclassification with I25.10 if lipid-rich plaque is not specified
Coding Notes
- Ensure documentation specifies 'lipid-rich plaque' and is supported by imaging.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Coronary atherosclerosis due to calcified coronary lesion
I25.84Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coronary Artery Disease Due to Lipid-Rich Plaque to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.83.
Impact
Clinical: Leads to misdiagnosis or incorrect treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure imaging reports are included in the patient's file, Train staff on documentation requirements
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure 'lipid-rich plaque' is documented and use I25.83.
Impact
Lack of imaging confirmation for lipid-rich plaque coding.
Mitigation Strategy
Ensure all imaging findings are documented and reviewed.
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 Disease Due to Lipid-Rich Plaque, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Artery Disease Due to Lipid-Rich Plaque
Use these documentation templates to ensure complete and accurate documentation for Coronary Artery Disease Due to Lipid-Rich Plaque. These templates include all required elements for proper coding and billing.
Cardiology Progress Note
Specialty: CardiologyRequired Elements
- Assessment of coronary artery disease
- Imaging results confirming lipid-rich plaque
- Medication adherence and therapy details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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