ICD-10 Coding for Coronary Disease Status Post Stent Placement(Z95.5, T82.855A, I97.190)
Complete ICD-10-CM coding and documentation guide for Coronary Disease Status Post Stent Placement. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coronary Disease Status Post Stent Placement
Presence of coronary angioplasty implant and graft
Used to indicate the presence of a coronary stent without active complications.
T82.855APrimary Range
Stenosis of coronary artery stent
Primary code for complications related to stent stenosis.
I97.190Primary Range
Postprocedural cardiac functional disturbance
Used when there is a cardiac disturbance following a procedure, such as an MI due to stent failure.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z95.5 | Presence of coronary angioplasty implant and graft | Use when the patient has a coronary stent without any active complications. |
|
| T82.855A | Stenosis of coronary artery stent | Use when there is confirmed stenosis within a coronary stent causing clinical symptoms. |
|
| I97.190 | Postprocedural cardiac functional disturbance | Use when there is a cardiac disturbance following a procedure, such as an MI due to stent failure. |
|
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: How do you code in-stent restenosis?
Essential facts and insights about Coronary Disease Status Post Stent Placement
Primary ICD-10-CM Codes for coronary disease status post stent placement
Decision Criteria
documentation Criteria
- Presence of a coronary stent without complications
Applicable To
- Status post coronary stent placement
Excludes
- Active complications of stent (e.g., stenosis, thrombosis)
Clinical Validation Requirements
- Documentation of stent placement without current complications
Code-Specific Risks
- Incorrectly using as a primary code for active complications
Coding Notes
- Use as a secondary code when documenting the presence of a stent.
T82.855A - Stenosis of coronary artery stent
Use when there is confirmed stenosis within a coronary stent causing clinical symptoms.
Applicable To
- In-stent restenosis
Excludes
- Stent thrombosis
Clinical Validation Requirements
- Angiographic evidence of stenosis within the stent
- Clinical symptoms consistent with ischemia
Coding Notes
Ensure angiographic confirmation of in-stent stenosis.
I97.190 - Postprocedural cardiac functional disturbance
Use when there is a cardiac disturbance following a procedure, such as an MI due to stent failure.
Applicable To
- Cardiac disturbance following stent placement
Excludes
- Non-procedural cardiac disturbances
Clinical Validation Requirements
- Elevated troponin levels
- New ischemic ECG changes post-PCI
Coding Notes
Ensure documentation of postprocedural cardiac disturbance.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Postprocedural cardiac functional disturbance
I97.190Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Atherosclerotic heart disease of native coronary artery
I25.10Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coronary Disease Status Post Stent Placement to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z95.5.
Impact
Clinical: Misdiagnosis of the condition leading to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Ensure angiographic reports are included in the medical record, Train staff on documentation requirements for stent complications
Impact
Reimbursement: Incorrect reimbursement due to improper DRG assignment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use T82.855A or I97.190 as primary codes for complications.
Impact
Failure to sequence codes correctly for stent complications.
Mitigation Strategy
Implement coding audits and training for staff.
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 Disease Status Post Stent Placement, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Disease Status Post Stent Placement
Use these documentation templates to ensure complete and accurate documentation for Coronary Disease Status Post Stent Placement. These templates include all required elements for proper coding and billing.
Post-Stent Complication
Specialty: CardiologyRequired Elements
- Stent history
- Current symptoms
- Diagnostic tests
- Specific findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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