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ICD-10 Coding for Occlusion of Saphenous Vein Graft to Posterior Descending Artery(T82.898A, I25.810)

Complete ICD-10-CM coding and documentation guide for Occlusion of Saphenous Vein Graft to Posterior Descending Artery. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

SVG-PDA OcclusionSaphenous Vein Graft Blockage to PDA

Related ICD-10 Code Ranges

Complete code families applicable to Occlusion of Saphenous Vein Graft to Posterior Descending Artery

T82.8Primary Range

Complications of other vascular grafts

This range includes complications related to vascular grafts, such as occlusions.

Other forms of chronic ischemic heart disease

This range includes chronic conditions like atherosclerosis affecting coronary artery bypass grafts.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
T82.898AOther specified complications of vascular grafts, initial encounterUse for acute occlusion scenarios causing acute coronary syndrome.
  • Angiography showing thrombotic occlusion
  • IVUS confirming fresh thrombus
I25.810Atherosclerosis of CABG, unspecifiedUse for chronic occlusion scenarios with progressive angina.
  • Chronic symptoms >3 months
  • IVUS showing fibroatheroma

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 occlusion of saphenous vein graft to PDA

Essential facts and insights about Occlusion of Saphenous Vein Graft to Posterior Descending Artery

The ICD-10 code for acute thrombotic occlusion of a saphenous vein graft to the posterior descending artery is T82.898A, while chronic atherosclerotic occlusion is coded as I25.810.

Primary ICD-10-CM Codes for occlusion of saphenous vein graft to posterior descending artery

Other specified complications of vascular grafts, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Presence of acute thrombotic occlusion confirmed by imaging

documentation Criteria

  • Detailed procedural notes confirming SVG-PDA location

Applicable To

  • Acute thrombotic occlusion of SVG-PDA

Excludes

  • Chronic atherosclerosis of CABG (I25.810)

Clinical Validation Requirements

  • Angiography showing thrombotic occlusion
  • IVUS confirming fresh thrombus

Code-Specific Risks

  • Misclassification if chronic atherosclerosis is present

Coding Notes

  • Ensure documentation specifies acute thrombotic nature and graft location.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

ST elevation (STEMI) myocardial infarction of unspecified site

I21.3
Use when acute myocardial infarction is present due to SVG occlusion.

Angina pectoris, unspecified

I20.9
Use when angina is present due to chronic SVG occlusion.

Differential Codes

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

Atherosclerosis of CABG, unspecified

I25.810
Use when occlusion is due to chronic atherosclerosis rather than acute thrombotic events.

Other specified complications of vascular grafts, initial encounter

T82.898A
Use when occlusion is due to acute thrombotic events rather than chronic atherosclerosis.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Occlusion of Saphenous Vein Graft to Posterior Descending Artery to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T82.898A.

Impact

Clinical: Potential for misdiagnosis, Regulatory: Non-compliance with coding standards, Financial: Incorrect billing and reimbursement

Mitigation Strategy

Use standardized templates, Double-check documentation before submission

Impact

Reimbursement: Incorrect DRG assignment leading to reimbursement errors., Compliance: Potential for audit issues due to incorrect coding., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation Strategy

Verify the nature of the occlusion and use T82.898A for acute thrombotic events.

Impact

Using chronic occlusion codes for acute events

Mitigation Strategy

Regular training on code differentiation and documentation requirements

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 Occlusion of Saphenous Vein Graft to Posterior Descending Artery, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Occlusion of Saphenous Vein Graft to Posterior Descending Artery

Use these documentation templates to ensure complete and accurate documentation for Occlusion of Saphenous Vein Graft to Posterior Descending Artery. These templates include all required elements for proper coding and billing.

Post-CABG Angina

Specialty: Cardiology

Required Elements

  • Patient history
  • Angiography results
  • IVUS findings
  • Treatment plan

Example Documentation

Patient presents with CCS class III angina. Angiography shows chronic total occlusion of SVG-PDA. Plan: Medical optimization.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Graft occlusion noted.
Good Documentation Example
Selective angiography demonstrates 100% thrombotic occlusion of saphenous vein graft to posterior descending artery with TIMI 0 flow.
Explanation
The good example specifies the location and nature of the occlusion, which is critical for accurate coding.

Need help with ICD-10 coding for Occlusion of Saphenous Vein Graft to Posterior Descending Artery? Ask your questions below.

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