ICD-10 Coding for Coronary Atherosclerosis(I25.10, I25.110)
Complete ICD-10-CM coding and documentation guide for Coronary Atherosclerosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coronary Atherosclerosis
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for various forms of coronary atherosclerosis, including those with and without angina.
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 coronary artery disease is present without angina symptoms. |
|
| I25.110 | Atherosclerotic heart disease of native coronary artery with unstable angina pectoris | Use when unstable angina is present with coronary artery disease. |
|
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 atherosclerosis without angina
Essential facts and insights about Coronary Atherosclerosis
Primary ICD-10-CM Codes for coronary atherosclerosis
Decision Criteria
clinical Criteria
- No angina symptoms present
documentation Criteria
- Coronary artery stenosis confirmed by imaging
Applicable To
- Coronary artery disease without angina
Excludes
- Atherosclerosis of bypass grafts (I25.7-)
Clinical Validation Requirements
- Documented coronary artery stenosis without angina symptoms
Code-Specific Risks
- Misclassification if angina is present but not documented
Coding Notes
- Ensure documentation specifies absence of angina.
I25.110 - Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
Use when unstable angina is present with coronary artery disease.
Applicable To
- Coronary artery disease with unstable angina
Excludes
- Acute myocardial infarction (I21.-)
Clinical Validation Requirements
- Documented unstable angina with coronary artery stenosis
Coding Notes
Ensure documentation specifies unstable angina.
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 Atherosclerosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: Loss of detailed clinical information, Regulatory: Potential audit issues, Financial: Missed opportunities for accurate coding
Mitigation Strategy
Ensure imaging reports are reviewed, Include plaque details in documentation
Impact
Reimbursement: Potential underpayment due to incorrect code usage, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure angina status is documented and use appropriate code for angina presence.
Impact
Failure to document angina type can lead to incorrect coding.
Mitigation Strategy
Implement checklist for angina documentation in patient records.
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 Atherosclerosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Atherosclerosis
Use these documentation templates to ensure complete and accurate documentation for Coronary Atherosclerosis. These templates include all required elements for proper coding and billing.
Stable angina with coronary artery disease
Specialty: CardiologyRequired Elements
- Angina type
- Coronary artery involvement
- Plaque characterization
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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