ICD-10 Coding for Coronary Artery Disease with Stent(I25.10, Z95.5, T82.855A, I97.190)
Complete ICD-10-CM coding and documentation guide for Coronary Artery Disease with 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 with Stent
I25.10-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for coronary artery disease, including those with and without angina, and is relevant for documenting CAD with stent.
Presence of Coronary Angioplasty Implant and Graft
This code indicates the presence of a coronary stent and is used in conjunction with CAD codes.
Stenosis of Coronary Artery Stent
This code is used for complications related to coronary stents, such as stenosis.
Postprocedural Cardiac Functional Disturbance
This code is used when a postprocedural complication, such as a myocardial infarction due to a stent, occurs.
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 CAD without angina and a stent is present. |
|
| Z95.5 | Presence of coronary angioplasty implant and graft | Use to document the presence of a coronary stent. |
|
| T82.855A | Stenosis of coronary artery stent, initial encounter | Use when documenting stenosis of a coronary stent. |
|
| I97.190 | Postprocedural cardiac functional disturbance | Use when a cardiac disturbance occurs post-stent placement. |
|
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 with Stent
Primary ICD-10-CM Codes for coronary artery disease with stent
Decision Criteria
clinical Criteria
- Patient has CAD without angina and a stent is present.
Applicable To
- Coronary artery disease without angina
Excludes
- Acute myocardial infarction (I21.-)
Clinical Validation Requirements
- Coronary angiography showing atherosclerosis
- Absence of angina symptoms
Code-Specific Risks
- Misclassification if angina is present
Coding Notes
- Ensure documentation specifies absence of angina.
Z95.5 - Presence of coronary angioplasty implant and graft
Use to document the presence of a coronary stent.
Applicable To
- Coronary stent
Excludes
- Complications of stent (T82.855A)
Clinical Validation Requirements
- Medical history indicating stent placement
Coding Notes
Use in conjunction with CAD codes to indicate stent presence.
T82.855A - Stenosis of coronary artery stent, initial encounter
Use when documenting stenosis of a coronary stent.
Applicable To
- In-stent restenosis
Excludes
- Native coronary artery stenosis (I25.10)
Clinical Validation Requirements
- Angiography showing stenosis within the stent
Coding Notes
Ensure documentation specifies stenosis is within the stent.
I97.190 - Postprocedural cardiac functional disturbance
Use when a cardiac disturbance occurs post-stent placement.
Applicable To
- Post-stent myocardial infarction
Excludes
- Non-procedural myocardial infarction (I21.-)
Clinical Validation Requirements
- Documentation of myocardial infarction following stent placement
Coding Notes
Ensure linkage to stent procedure is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of coronary angioplasty implant and graft
Z95.5Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Atherosclerotic heart disease of native coronary artery with angina pectoris
I25.11Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.10Other myocardial infarction type
I21.A9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coronary Artery Disease with 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: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to incomplete documentation.
Mitigation Strategy
Use templates to ensure all relevant details are captured., Regular training on documentation standards.
Impact
Reimbursement: Incorrect DRG assignment may affect payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Verify angiography results to confirm stenosis location.
Impact
Incorrect coding of stent complications can lead to audit issues.
Mitigation Strategy
Ensure thorough documentation and correct code sequencing.
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 Stent, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Artery Disease with Stent
Use these documentation templates to ensure complete and accurate documentation for Coronary Artery Disease with Stent. These templates include all required elements for proper coding and billing.
Patient with CAD and stent presenting with chest pain
Specialty: CardiologyRequired Elements
- Stent history and placement details
- Current symptoms and diagnostic findings
- Linkage of symptoms to stent or native CAD
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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