ICD-10 Coding for Coronary Artery Disease Stent(I25.10, Z95.5, T82.857A)
Complete ICD-10-CM coding and documentation guide for Coronary Artery Disease Stent. 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 Stent
I25.10-I25.9Primary Range
Chronic ischemic heart disease
This range includes codes for coronary artery disease, which is directly related to the presence of coronary stents.
Presence of coronary angioplasty implant and graft
This code is used to indicate the presence of a coronary stent without active disease management.
Complications of cardiac and vascular prosthetic devices, implants and grafts
This range is used for coding complications related to coronary stents, such as restenosis or thrombosis.
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 | Use when documenting coronary artery disease with a stent in place, without active angina. |
|
| Z95.5 | Presence of coronary angioplasty implant and graft | Use to indicate the presence of a coronary stent when no active CAD management is needed. |
|
| T82.857A | Stenosis of coronary stent | Use when there is documented stenosis of a coronary stent. |
|
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 disease with stent
Essential facts and insights about Coronary Artery Disease Stent
Primary ICD-10-CM Codes for coronary artery disease stent
Decision Criteria
clinical Criteria
- Patient has CAD with a stent and no angina.
Applicable To
- Coronary artery disease with stent
Excludes
- Acute myocardial infarction (I21.-)
Clinical Validation Requirements
- Documented history of coronary artery disease
- Presence of coronary stent
Code-Specific Risks
- Misuse when angina is present
- Omission of stent status documentation
Coding Notes
- Ensure documentation specifies the presence of a stent and the absence of angina.
Z95.5 - Presence of coronary angioplasty implant and graft
Use to indicate the presence of a coronary stent when no active CAD management is needed.
Applicable To
- Presence of coronary stent
Excludes
- Complications of stent (T82.8XX)
Clinical Validation Requirements
- Documentation of stent placement
Coding Notes
This code is used for the status of the stent, not for active disease management.
T82.857A - Stenosis of coronary stent
Use when there is documented stenosis of a coronary stent.
Applicable To
- In-stent restenosis
Excludes
- Native vessel stenosis (I25.10)
Clinical Validation Requirements
- Angiographic evidence of stenosis
- Clinical symptoms of ischemia
Coding Notes
Ensure documentation specifies 'in-stent restenosis' for accurate coding.
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.
Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.110Stenosis of coronary stent
T82.857AAtherosclerotic heart disease of native coronary artery without angina pectoris
I25.10Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coronary Artery Disease Stent to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: Incomplete clinical picture., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always include stent status in CAD documentation., Use templates to ensure completeness.
Impact
Reimbursement: May lead to denied claims due to incomplete coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Always pair Z95.5 with I25.10 when managing CAD.
Impact
Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Potential audit risk due to vague coding., Data Quality: Loss of specificity in patient records.
Mitigation Strategy
Require documentation of exact complication (e.g., 'thrombosis' vs. 'restenosis').
Impact
Inaccurate coding of stent complications can lead to audits.
Mitigation Strategy
Ensure detailed documentation of complications.
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 Stent, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Artery Disease Stent
Use these documentation templates to ensure complete and accurate documentation for Coronary Artery Disease Stent. These templates include all required elements for proper coding and billing.
Routine follow-up with existing stent and stable CAD
Specialty: CardiologyRequired Elements
- Patient history
- Stent placement details
- Current symptoms
- Test results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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