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ICD-10 Coding for Personal History of Myocardial Infarction(I25.2)

Complete ICD-10-CM coding and documentation guide for Personal History of Myocardial Infarction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Old Myocardial InfarctionHealed Myocardial InfarctionResolved Myocardial Infarction

Related ICD-10 Code Ranges

Complete code families applicable to Personal History of Myocardial Infarction

I25.2Primary Range

Old myocardial infarction

Used for myocardial infarctions that occurred more than 4 weeks ago and are no longer active.

Personal history of diseases of the circulatory system

Includes personal history of circulatory diseases but not specifically myocardial infarction.

Key Information: ICD-10 code for personal history of myocardial infarction

Essential facts and insights about Personal History of Myocardial Infarction

The ICD-10 code for personal history of myocardial infarction is I25.2, used for MIs that occurred more than 4 weeks ago and are resolved.

Primary ICD-10-CM Code for personal history of myocardial infarction

Old myocardial infarction
Billable Code

Decision Criteria

clinical Criteria

  • ECG shows Q-waves without acute changes

documentation Criteria

  • Physician notes indicate 'old' or 'healed' MI

Applicable To

  • Healed myocardial infarction
  • Resolved myocardial infarction

Excludes

  • Acute myocardial infarction (I21.-)
  • Subsequent myocardial infarction (I22.-)

Clinical Validation Requirements

  • ECG showing Q-waves without acute ST-T changes
  • Normal cardiac biomarkers (troponin/CK-MB)
  • Documentation of 'healed', 'old', or 'remote' MI with specific timeline

Code-Specific Risks

  • Incorrectly coding an acute MI as old
  • Using without proper documentation of resolution

Coding Notes

  • Ensure documentation specifies the MI is old and resolved.

Ancillary Codes

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

Presence of coronary angioplasty implant

Z95.5
Use with I25.2 if stents are present.

Atherosclerotic heart disease

I25.10
Use for concurrent coronary artery disease.

Differential Codes

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

Acute myocardial infarction

I21.xx
Use for MIs that occurred within the last 4 weeks.

Subsequent myocardial infarction

I22.xx
Use for a new MI occurring within 4 weeks of a previous MI.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Personal History of 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 incorrect billing and reimbursement.

Mitigation Strategy

Train staff on proper documentation practices., Use templates that prompt for resolution details.

Impact

Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation Strategy

Use I21.xx for acute MIs within 4 weeks.

Impact

Using I25.2 for MIs within 4 weeks.

Mitigation Strategy

Regular training and audits of coding practices.

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 Personal History of Myocardial Infarction, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Personal History of Myocardial Infarction

Use these documentation templates to ensure complete and accurate documentation for Personal History of Myocardial Infarction. These templates include all required elements for proper coding and billing.

Follow-up for old myocardial infarction

Specialty: Cardiology

Required Elements

  • Date of MI
  • Current symptoms
  • ECG findings
  • Cardiac biomarkers

Example Documentation

Patient with old MI (03/2024), asymptomatic, ECG shows Q-waves, normal troponin.

Examples: Poor vs. Good Documentation

Poor Documentation Example
History of MI
Good Documentation Example
Old anteroseptal MI (03/2024), now asymptomatic with normal EF on echo
Explanation
The good example specifies the MI is old and resolved, with supporting clinical data.

Need help with ICD-10 coding for Personal History of Myocardial Infarction? Ask your questions below.

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