ICD-10 Coding for Coronary Artery Disease with Stable Angina(I25.118, I25.10)
Complete ICD-10-CM coding and documentation guide for Coronary Artery Disease with Stable Angina. 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 Stable Angina
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for various forms of chronic ischemic heart disease, including CAD with stable angina.
Long-term (current) use of agents affecting estrogen receptors and estrogen levels
Used to indicate long-term use of antianginal drugs, relevant for patients with CAD on medication.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.118 | Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris | Use when CAD is present with stable angina, especially if the patient is on antianginal medication. |
|
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris | Use when CAD is present but the patient does not experience 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: ICD-10 code for coronary artery disease with stable angina
Essential facts and insights about Coronary Artery Disease with Stable Angina
Primary ICD-10-CM Codes for coronary artery disease with stable angina
Decision Criteria
clinical Criteria
- Presence of stable angina symptoms controlled by medication
documentation Criteria
- Explicit mention of 'stable angina' in medical records
Applicable To
- Stable angina pectoris
Excludes
- Unstable angina (I20.0)
Clinical Validation Requirements
- Documentation of stable angina controlled with medication
- Positive stress test indicating ischemia
- EKG changes during angina episodes
Code-Specific Risks
- Incorrectly coding as unspecified angina when stable angina is documented
Coding Notes
- Ensure documentation specifies 'stable angina' to avoid unspecified coding.
I25.10 - Atherosclerotic heart disease of native coronary artery without angina pectoris
Use when CAD is present but the patient does not experience angina.
Excludes
- Angina pectoris (I20.-)
Clinical Validation Requirements
- Documentation of CAD without any angina symptoms
Coding Notes
Do not use if the patient is on antianginal medication.
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 Stable Angina to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.118.
Impact
Clinical: Leads to potential misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: May result in incorrect billing.
Mitigation Strategy
Educate providers on the importance of specifying angina type.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code I25.118 + Z79.84 if medications control symptoms.
Impact
Using I25.119 when stable angina is documented.
Mitigation Strategy
Ensure documentation specifies 'stable angina'.
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 Stable Angina, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Artery Disease with Stable Angina
Use these documentation templates to ensure complete and accurate documentation for Coronary Artery Disease with Stable Angina. These templates include all required elements for proper coding and billing.
Stable Angina Management
Specialty: CardiologyRequired Elements
- Angina characteristics
- Medication details
- Objective test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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