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ICD-10 Coding for Coronary Stent(Z95.5, T82.855A, I97.190)

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

Also known as:

Cardiac StentCoronary Artery Stent

Related ICD-10 Code Ranges

Complete code families applicable to Coronary Stent

Z95.5Primary Range

Presence of coronary angioplasty implant and graft

Used to indicate the presence of a coronary stent without complications.

Complications of cardiac and vascular prosthetic devices, implants and grafts

Used for coding complications related to coronary stents, such as stenosis or thrombosis.

Other postprocedural disorders of circulatory system, not elsewhere classified

Used for conditions like myocardial infarction due to stent stenosis.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
Z95.5Presence of coronary angioplasty implant and graftUse when documenting the presence of a coronary stent without any complications.
  • Documentation of prior coronary stent placement
  • No current complications
T82.855AStenosis of coronary artery stent, initial encounterUse when there is documented stenosis of a coronary stent.
  • Angiographic evidence of in-stent restenosis
  • Clinical symptoms of ischemia
I97.190Postprocedural myocardial infarctionUse when myocardial infarction is directly related to a coronary stent.
  • Elevated cardiac biomarkers
  • Clinical symptoms of myocardial infarction

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 stent

Essential facts and insights about Coronary Stent

The ICD-10 code for the presence of a coronary stent is Z95.5, used when there are no complications.

Primary ICD-10-CM Codes for coronary stent

Presence of coronary angioplasty implant and graft
Billable Code

Decision Criteria

clinical Criteria

  • Presence of a coronary stent without complications

Applicable To

  • Presence of coronary stent

Excludes

Clinical Validation Requirements

  • Documentation of prior coronary stent placement
  • No current complications

Code-Specific Risks

  • Incorrectly using as a primary diagnosis when complications are present

Coding Notes

  • Ensure no complications are present when using this code.

Differential Codes

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

Thrombosis of coronary artery stent, initial encounter

T82.867A
Use T82.867A for thrombosis, not stenosis.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Coronary Stent to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z95.5.

Impact

Clinical: Inaccurate clinical records, Regulatory: Non-compliance with documentation standards, Financial: Potential billing discrepancies

Mitigation Strategy

Use templates that prompt for stent details, Regular training on documentation standards

Impact

Reimbursement: Incorrect reimbursement due to improper code sequencing, Compliance: Non-compliance with ICD-10 coding guidelines, Data Quality: Inaccurate clinical data representation

Mitigation Strategy

Use T82 codes for complications and sequence appropriately.

Impact

Failure to document complications can lead to audit issues.

Mitigation Strategy

Ensure all complications are documented with appropriate codes.

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

Documentation Templates for Coronary Stent

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

Coronary Stent Placement

Specialty: Cardiology

Required Elements

  • Indication for procedure
  • Details of stent type and placement
  • Post-procedure findings

Example Documentation

A 3.5mm drug-eluting stent was deployed in the proximal LCx with TIMI 3 flow post-placement.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Stent placed in coronary artery.
Good Documentation Example
3.5mm drug-eluting stent deployed in proximal LCx with TIMI 3 flow post-placement.
Explanation
The good example specifies the stent type, size, and placement location, providing complete documentation.

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

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