ICD-10 Coding for Elevated Coronary Artery Calcium Score(I25.84, Z00.00)
Complete ICD-10-CM coding and documentation guide for Elevated Coronary Artery Calcium Score. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Coronary Artery Calcium Score
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for coronary atherosclerosis, which is directly related to elevated calcium scores.
Factors Influencing Health Status and Contact with Health Services
Includes codes for routine health exams and personal history of diseases, relevant for documenting context of CAC scoring.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.84 | Coronary atherosclerosis due to calcified coronary lesion | Use when calcification is linked to atherosclerosis. |
|
| Z00.00 | Encounter for general adult medical examination without abnormal findings | Use when CAC scoring is part of a routine health exam. |
|
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 elevated calcium score
Essential facts and insights about Elevated Coronary Artery Calcium Score
Primary ICD-10-CM Codes for elevated calcium score
Decision Criteria
clinical Criteria
- Presence of calcified coronary lesions with atherosclerosis
Applicable To
- Coronary artery calcification
Excludes
- Non-calcified coronary atherosclerosis
Clinical Validation Requirements
- CAC score documented in Agatston units
- Linkage to atherosclerosis explicitly stated
Code-Specific Risks
- Incorrectly using for non-atherosclerotic calcification
Coding Notes
- Ensure documentation explicitly links calcification to atherosclerosis.
Z00.00 - Encounter for general adult medical examination without abnormal findings
Use when CAC scoring is part of a routine health exam.
Applicable To
- Routine health exam
Excludes
- Exams with abnormal findings
Clinical Validation Requirements
- Routine exam context documented
Coding Notes
Ensure the exam is documented as routine.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of coronary artery disease
Z87.891Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Abnormal cardiovascular function study
R94.31Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Coronary Artery Calcium Score to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.84.
Impact
Clinical: Potential misdiagnosis or under-treatment., Regulatory: Non-compliance with documentation standards., Financial: Denied claims or reduced reimbursement.
Mitigation Strategy
Train staff on specific documentation requirements., Use templates for consistent documentation.
Impact
Reimbursement: Incorrect DRG assignment leading to underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Misrepresentation of patient condition severity.
Mitigation Strategy
Use I25.84 as primary if atherosclerosis is confirmed.
Impact
Failure to document linkage between CAC score and atherosclerosis.
Mitigation Strategy
Use standardized 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 Elevated Coronary Artery Calcium Score, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Coronary Artery Calcium Score
Use these documentation templates to ensure complete and accurate documentation for Elevated Coronary Artery Calcium Score. These templates include all required elements for proper coding and billing.
Intermediate risk patient with elevated CAC score
Specialty: CardiologyRequired Elements
- Patient history
- CAC score in Agatston units
- Risk assessment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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