ICD-10 Coding for Coronary Vascular Disease(I25.10, I25.11)
Complete ICD-10-CM coding and documentation guide for Coronary Vascular Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coronary Vascular Disease
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range covers chronic forms of coronary artery disease, including atherosclerosis and 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 atherosclerosis is present in native coronary arteries without angina. |
|
| I25.11 | Atherosclerotic heart disease of native coronary artery with angina pectoris | Use when atherosclerosis is present in native coronary arteries with angina. |
|
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 vascular disease
Essential facts and insights about Coronary Vascular Disease
Primary ICD-10-CM Codes for coronary vascular disease
Decision Criteria
clinical Criteria
- Atherosclerosis confirmed without angina symptoms
Applicable To
- Coronary artery disease without angina
Excludes
- Angina pectoris (I20.-)
Clinical Validation Requirements
- Coronary angiography confirming atherosclerosis without angina symptoms
Code-Specific Risks
- Incorrectly coding when angina is present
Coding Notes
- Ensure documentation specifies absence of angina.
I25.11 - Atherosclerotic heart disease of native coronary artery with angina pectoris
Use when atherosclerosis is present in native coronary arteries with angina.
Applicable To
- Coronary artery disease with angina
Excludes
- Angina pectoris without atherosclerosis (I20.-)
Clinical Validation Requirements
- Coronary angiography confirming atherosclerosis with angina symptoms
Coding Notes
Document type of angina (stable, unstable, refractory).
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 Vascular Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: Inadequate treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential reimbursement issues
Mitigation Strategy
Use templates to ensure complete documentation, Regular training on documentation standards
Impact
Reimbursement: Incorrect coding may lead to underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I25.11x for CAD with angina
Impact
Inadequate documentation of angina type
Mitigation Strategy
Implement documentation templates and training
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 Vascular Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Vascular Disease
Use these documentation templates to ensure complete and accurate documentation for Coronary Vascular Disease. These templates include all required elements for proper coding and billing.
Patient with CAD and stable angina
Specialty: CardiologyRequired Elements
- Angina type
- Coronary artery involvement
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Coronary Vascular Disease? Ask your questions below.