ICD-10 Coding for History of STEMI(I25.2)
Complete ICD-10-CM coding and documentation guide for History of STEMI. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of STEMI
I25.2Primary Range
Old myocardial infarction
Used for myocardial infarctions that occurred more than 4 weeks ago and are no longer acute.
Key Information: ICD-10 code for history of STEMI
Essential facts and insights about History of STEMI
Primary ICD-10-CM Code for history of stemi
Decision Criteria
clinical Criteria
- MI occurred more than 4 weeks ago with no acute symptoms.
documentation Criteria
- Documentation must specify 'old' or 'healed' MI with a date.
Applicable To
- Healed myocardial infarction
- Myocardial infarction more than 4 weeks old
Clinical Validation Requirements
- Documentation of MI occurring more than 4 weeks ago
- Normal troponin levels
- EKG showing Q-waves without ST-elevation
Code-Specific Risks
- Incorrectly coding an acute MI as old
- Lack of documentation specifying the MI is more than 4 weeks old
Coding Notes
- Ensure documentation clearly states the MI is old and specify the date or timeframe.
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 History of STEMI to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.2.
Impact
Clinical: Potential mismanagement of patient care., Regulatory: Non-compliance with documentation standards., Financial: Risk of claim denials.
Mitigation Strategy
Use templates that prompt for specific dates., Regular training on documentation standards.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use I21.- for acute MI within 4 weeks.
Impact
Using I25.2 for recent MIs.
Mitigation Strategy
Regular audits and provider education.
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 History of STEMI, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of STEMI
Use these documentation templates to ensure complete and accurate documentation for History of STEMI. These templates include all required elements for proper coding and billing.
Primary Care Follow-up
Specialty: Primary CareRequired Elements
- Patient history
- Date of STEMI
- Current status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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