ICD-10 Coding for Coronary Artery Disease Without Angina(I25.10)
Complete ICD-10-CM coding and documentation guide for Coronary Artery Disease Without 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 Without Angina
I25.10-I25.19Primary Range
Chronic ischemic heart disease
This range includes codes for chronic ischemic heart disease, specifically focusing on coronary artery disease without angina.
Key Information: ICD-10 code for coronary artery disease without angina
Essential facts and insights about Coronary Artery Disease Without Angina
Primary ICD-10-CM Code for coronary artery disease without angina
Decision Criteria
clinical Criteria
- Confirmed atherosclerosis in native coronary arteries without angina symptoms
documentation Criteria
- Explicit mention of 'without angina pectoris' in the medical record
Applicable To
- Coronary artery disease without angina
Clinical Validation Requirements
- Coronary angiography showing ≥50% stenosis in native coronary arteries
- Stress test indicating silent ischemia without angina
- Elevated LDL levels >190 mg/dL
Code-Specific Risks
- Misclassification if angina is present
- Incorrect use if grafts are involved
Coding Notes
- Ensure documentation specifies 'native coronary artery' and explicitly states 'without angina pectoris'.
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 Without Angina to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: Misleading clinical picture of patient's condition., Regulatory: Potential audit issues due to vague documentation., Financial: Incorrect code assignment affecting reimbursement.
Mitigation Strategy
Educate clinicians on proper terminology, Use standardized templates
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation explicitly states 'without angina pectoris'.
Impact
Lack of specificity in documenting 'without angina pectoris' can trigger audits.
Mitigation Strategy
Implement regular documentation audits and clinician training.
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 Without Angina, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Artery Disease Without Angina
Use these documentation templates to ensure complete and accurate documentation for Coronary Artery Disease Without Angina. These templates include all required elements for proper coding and billing.
Routine cardiology follow-up for CAD without angina
Specialty: CardiologyRequired Elements
- Patient history
- Coronary artery findings
- Symptom assessment
- Medication review
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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