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ICD-10 Coding for Coronary Bypass(I25.10, I25.710)

Complete ICD-10-CM coding and documentation guide for Coronary Bypass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

CABGCoronary Artery Bypass Graft

Related ICD-10 Code Ranges

Complete code families applicable to Coronary Bypass

I25.10-I25.9Primary Range

Chronic ischemic heart disease

Includes codes for coronary artery disease and its complications, relevant for documenting conditions leading to CABG.

021209W-02120J9Primary Range

ICD-10-PCS codes for coronary artery bypass procedures

Used to code the specific surgical procedures involved in CABG.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I25.10Atherosclerotic heart disease of native coronary artery without angina pectorisUse when documenting coronary artery disease without angina symptoms.
  • Documentation of coronary artery disease without angina symptoms
I25.710Atherosclerosis of autologous vein coronary artery bypass graft(s) without angina pectorisUse when documenting atherosclerosis in vein grafts without angina.
  • Operative report confirming autologous vein graft

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 bypass

Essential facts and insights about Coronary Bypass

The ICD-10 code for coronary artery bypass grafting (CABG) procedures is typically found in the range 021209W-02120J9.

Primary ICD-10-CM Codes for coronary bypass

Atherosclerotic heart disease of native coronary artery without angina pectoris
Billable Code

Decision Criteria

clinical Criteria

  • No angina symptoms present

Applicable To

  • Coronary artery disease without angina

Excludes

  • Atherosclerosis of bypass grafts

Clinical Validation Requirements

  • Documentation of coronary artery disease without angina symptoms

Code-Specific Risks

  • Ensure no angina symptoms are documented.

Coding Notes

  • Ensure accurate documentation of the absence of angina.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Atherosclerotic heart disease of native coronary artery with unstable angina pectoris

I25.110
Presence of unstable angina symptoms.

Atherosclerosis of unspecified type of bypass graft(s) without angina pectoris

I25.700
Unspecified graft type.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Coronary Bypass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.

Impact

Clinical: Leads to incorrect treatment records., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation Strategy

Use standardized templates, Double-check operative reports

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate medical records.

Mitigation Strategy

Use separate codes for vein and artery grafts.

Impact

Failure to document graft type accurately can lead to audits.

Mitigation Strategy

Ensure detailed operative notes and cross-reference with imaging.

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 Bypass, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Coronary Bypass

Use these documentation templates to ensure complete and accurate documentation for Coronary Bypass. These templates include all required elements for proper coding and billing.

Post-operative CABG documentation

Specialty: Cardiology

Required Elements

  • Graft patency confirmation
  • Conduit types used
  • Complications noted

Examples: Poor vs. Good Documentation

Poor Documentation Example
Post-op day 1: Stable, chest tubes draining.
Good Documentation Example
Post-CABG Progress Note: Graft patency confirmed by TTE (EF 55%). Conduits: LIMA to LAD, SVG to OM1, SVG to PDA. Complications: Nil.
Explanation
The good example provides specific details about graft patency and conduit types, which are essential for accurate documentation.

Need help with ICD-10 coding for Coronary Bypass? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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