ICD-10 Coding for Old Myocardial Infarction(I25.2)
Complete ICD-10-CM coding and documentation guide for Old Myocardial Infarction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Old Myocardial Infarction
I25.2Primary Range
Old myocardial infarction
This code is used to document a myocardial infarction that occurred more than four weeks ago with no current symptoms.
Key Information: ICD-10 code for old myocardial infarction
Essential facts and insights about Old Myocardial Infarction
Primary ICD-10-CM Code for old myocardial infarction
Decision Criteria
clinical Criteria
- MI occurred more than four weeks ago with no current symptoms.
documentation Criteria
- Documentation must include the date of the MI and confirm it is 'healed' or 'old'.
Applicable To
- Healed myocardial infarction
- History of myocardial infarction
Clinical Validation Requirements
- ECG showing pathological Q waves without acute ST changes
- Echocardiogram demonstrating wall motion abnormality >4 weeks old
- Absence of elevated cardiac biomarkers (troponin <0.04 ng/mL)
- Documentation of 'healed' or 'fibrotic' myocardium on imaging
Code-Specific Risks
- Incorrectly using this code for recent MIs
- Failing to document the absence of symptoms
Coding Notes
- Ensure documentation specifies the MI is 'old' or 'healed' and occurred more than four weeks ago.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of other diseases of the circulatory system
Z86.79Differential 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 Old Myocardial Infarction to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.2.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Always confirm and document the absence of symptoms in follow-up notes., Use templates to ensure all required elements are included.
Impact
Reimbursement: Incorrect coding may lead to denied claims or incorrect reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Ensure the MI is documented as occurring more than four weeks ago.
Impact
Using I25.2 for recent myocardial infarctions.
Mitigation Strategy
Regular training on ICD-10 guidelines 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 Old Myocardial Infarction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Old Myocardial Infarction
Use these documentation templates to ensure complete and accurate documentation for Old Myocardial Infarction. These templates include all required elements for proper coding and billing.
Cardiology Follow-Up
Specialty: CardiologyRequired Elements
- Date of MI
- Current symptom status
- Diagnostic test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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