ICD-10 Coding for Coronary Artery Disease with CABG(I25.10, I25.702)
Complete ICD-10-CM coding and documentation guide for Coronary Artery Disease with CABG. 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 with CABG
I25.10-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for coronary artery disease, both in native vessels and grafts, with or without angina.
Atherosclerosis of Coronary Artery Bypass Graft(s)
This range is used when atherosclerosis affects the grafts used in CABG.
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 CAD is present in native vessels without angina, even if the patient has a history of CABG. |
|
| I25.702 | Atherosclerosis of unspecified type of bypass graft(s) of coronary artery with angina pectoris | Use when atherosclerosis is present in unspecified grafts with 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: How do you code coronary artery disease with CABG?
Essential facts and insights about Coronary Artery Disease with CABG
Primary ICD-10-CM Codes for coronary artery disease with cabg
Decision Criteria
clinical Criteria
- Presence of CAD in native vessels without angina
documentation Criteria
- Explicit mention of native vessel disease
Applicable To
- Atherosclerosis of native coronary arteries
Excludes
- Atherosclerosis of bypass grafts (I25.7-)
Clinical Validation Requirements
- Angiogram showing stenosis in native coronary arteries
- Patient history of CABG with patent grafts
Code-Specific Risks
- Misclassification if graft involvement is not specified
Coding Notes
- Ensure documentation specifies native vessel involvement to avoid incorrect coding of graft disease.
I25.702 - Atherosclerosis of unspecified type of bypass graft(s) of coronary artery with angina pectoris
Use when atherosclerosis is present in unspecified grafts with angina.
Applicable To
- Atherosclerosis of unspecified CABG graft with angina
Excludes
- Atherosclerosis of native coronary arteries (I25.10)
Clinical Validation Requirements
- Angiogram showing stenosis in grafts
- Documentation of angina type
Coding Notes
Ensure graft type is unspecified in documentation to use this code.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coronary Artery Disease with CABG to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: Misrepresentation of patient condition, Regulatory: Potential audit issues, Financial: Incorrect reimbursement
Mitigation Strategy
Always document graft status, Use templates to ensure completeness
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I25.10 for native vessel disease unless graft involvement is specified.
Impact
Risk of incorrect coding if graft involvement is not specified.
Mitigation Strategy
Implement documentation checks for graft status.
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 with CABG, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Artery Disease with CABG
Use these documentation templates to ensure complete and accurate documentation for Coronary Artery Disease with CABG. These templates include all required elements for proper coding and billing.
Patient with CAD post-CABG presenting with angina
Specialty: CardiologyRequired Elements
- CABG history
- Graft type and status
- Angina type
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Coronary Artery Disease with CABG? Ask your questions below.