ICD-10 Coding for Coronary Artery Disease Unspecified(I25.10)
Complete ICD-10-CM coding and documentation guide for Coronary Artery Disease Unspecified. 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 Unspecified
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for various forms of ischemic heart disease, including coronary artery disease.
Key Information: ICD-10 code for coronary artery disease unspecified
Essential facts and insights about Coronary Artery Disease Unspecified
Primary ICD-10-CM Code for coronary artery disease unspecified
Decision Criteria
clinical Criteria
- Presence of atherosclerosis in native coronary arteries without angina symptoms.
documentation Criteria
- Documentation must specify 'native coronary artery' and confirm absence of angina.
Applicable To
- Chronic coronary syndrome without current angina
Excludes
- Unstable angina without CAD
Clinical Validation Requirements
- Angiography showing ≥50% stenosis in ≥1 major epicardial artery
- CT Calcium Score with Agatston score >400
- Stress Test showing fixed perfusion defects without angina
- Labs with LDL >160 mg/dL, hsCRP >3 mg/L
Code-Specific Risks
- Confusing with I25.119 if angina is present but unspecified.
Coding Notes
- Ensure documentation specifies 'native coronary artery' and absence of angina.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of aortocoronary bypass graft
Z95.1Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
I25.119Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coronary Artery Disease Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: Leads to vague clinical records., Regulatory: Non-compliance with ICD-10 specificity requirements., Financial: Potential for incorrect reimbursement.
Mitigation Strategy
Always specify 'native coronary artery' and angina status., Use templates to ensure complete documentation.
Impact
Reimbursement: Incorrect coding may lead to improper reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query for angina specification or confirm absence of angina.
Impact
Lack of specificity in documenting coronary artery disease.
Mitigation Strategy
Use structured templates and checklists to ensure complete documentation.
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 Unspecified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Artery Disease Unspecified
Use these documentation templates to ensure complete and accurate documentation for Coronary Artery Disease Unspecified. These templates include all required elements for proper coding and billing.
Routine Cardiology Follow-up
Specialty: CardiologyRequired Elements
- Patient denies chest pain or equivalent symptoms
- EKG results
- Lipid panel results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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