ICD-10 Coding for Stable Angina(I25.118, I20.8)
Complete ICD-10-CM coding and documentation guide for Stable Angina. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Stable Angina
I20-I25Primary Range
Ischemic Heart Diseases
This range includes codes for various forms of ischemic heart diseases, including stable angina.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.118 | Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris | Use when stable angina is present with documented CAD. |
|
| I20.8 | Other forms of angina pectoris | Use when stable angina is documented without evidence of CAD. |
|
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 stable angina
Essential facts and insights about Stable Angina
Primary ICD-10-CM Codes for stable angina
Decision Criteria
clinical Criteria
- Presence of CAD with stable angina symptoms
Applicable To
- Stable angina with CAD
Excludes
- Angina without CAD
Clinical Validation Requirements
- Positive stress test indicating reversible ischemia
- Angiographic evidence of CAD
Code-Specific Risks
- Incorrectly coding without CAD evidence
Coding Notes
- Ensure CAD is documented when using this code.
I20.8 - Other forms of angina pectoris
Use when stable angina is documented without evidence of CAD.
Applicable To
- Stable angina without CAD
Excludes
- Angina with CAD
Clinical Validation Requirements
- Stable angina symptoms without CAD evidence
Coding Notes
Ensure absence of CAD is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pure hypercholesterolemia, unspecified
E78.00Differential 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 Stable Angina to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.118.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Always specify 'stable' or 'unstable' angina.
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Verify CAD presence through angiography or stress test before coding.
Impact
Risk of audits due to incorrect angina type coding.
Mitigation Strategy
Ensure documentation specifies 'stable' or 'unstable' angina.
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 Stable Angina, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Stable Angina
Use these documentation templates to ensure complete and accurate documentation for Stable Angina. These templates include all required elements for proper coding and billing.
Stable Angina in Primary Care
Specialty: CardiologyRequired Elements
- Patient history of exertional chest pain
- Relief with rest or nitroglycerin
- Stress test results
- Angiographic findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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