ICD-10 Coding for Coronary Stenting(T82.855A, I97.190)
Complete ICD-10-CM coding and documentation guide for Coronary Stenting. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coronary Stenting
T82.85-T82.857Primary Range
Complications of cardiac and vascular prosthetic devices, implants and grafts
This range includes codes for complications related to coronary stents, such as in-stent restenosis.
Atherosclerotic heart disease of native coronary artery
This range is used for coding coronary artery disease, which may coexist with stent complications.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T82.855A | Stenosis of coronary artery stent | Use when there is documented stenosis within a previously placed coronary stent. |
|
| I97.190 | Postprocedural cardiac dysfunction | Use when there is documented cardiac dysfunction following a coronary stenting procedure. |
|
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 in-stent restenosis
Essential facts and insights about Coronary Stenting
Primary ICD-10-CM Codes for coronary stenting
Decision Criteria
clinical Criteria
- Angiographic evidence of stenosis within the stent
documentation Criteria
- Explicit mention of 'in-stent restenosis'
Applicable To
- In-stent restenosis
Excludes
- Native coronary artery disease (I25.1)
Clinical Validation Requirements
- Angiographic evidence of stenosis within the stent
- Clinical symptoms of ischemia
Code-Specific Risks
- Misclassification as native CAD
- Omission of required modifiers
Coding Notes
- Ensure documentation specifies 'in-stent restenosis' to avoid misclassification.
I97.190 - Postprocedural cardiac dysfunction
Use when there is documented cardiac dysfunction following a coronary stenting procedure.
Applicable To
- Cardiac complications following a procedure
Excludes
- Acute myocardial infarction (I21)
Clinical Validation Requirements
- Documentation of cardiac dysfunction following a procedure
Coding Notes
Ensure proper sequencing with myocardial infarction codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of coronary angioplasty implant and graft
Z95.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coronary Stenting to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T82.855A.
Impact
Clinical: Leads to incomplete clinical records., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials due to insufficient detail.
Mitigation Strategy
Include stent type and location in all procedure notes., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding can lead to denied claims or reduced reimbursement., Compliance: Misclassification affects compliance with coding guidelines., Data Quality: Impacts the accuracy of clinical data and patient records.
Mitigation Strategy
Ensure documentation specifies 'in-stent restenosis' and use T82.855A.
Impact
Incorrect use of modifiers can lead to audit flags.
Mitigation Strategy
Ensure documentation supports modifier use and train staff on correct application.
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 Stenting, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Stenting
Use these documentation templates to ensure complete and accurate documentation for Coronary Stenting. These templates include all required elements for proper coding and billing.
In-stent Restenosis Management
Specialty: CardiologyRequired Elements
- Patient history of stent placement
- Current symptoms and clinical findings
- Angiographic evidence of restenosis
- Treatment plan and outcomes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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