ICD-10 Coding for Status Post Coronary Artery Bypass Graft(Z95.5, I25.10, T82.2XXA)
Complete ICD-10-CM coding and documentation guide for Status Post Coronary Artery Bypass Graft. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Status Post Coronary Artery Bypass Graft
Z95.5Primary Range
Presence of coronary angioplasty implant and graft
Primary code for documenting the presence of a coronary artery bypass graft.
Chronic ischemic heart disease
Used to document underlying coronary artery disease related to CABG.
Complications of cardiac and vascular prosthetic devices, implants and grafts
Used for documenting complications related to the coronary artery bypass graft.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z95.5 | Presence of coronary angioplasty implant and graft | Use for routine follow-up visits where the patient has a history of CABG. |
|
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris | Use when documenting the underlying condition requiring CABG. |
|
| T82.2XXA | Complications of cardiac and vascular prosthetic devices, implants and grafts | Use when documenting complications related to the CABG. |
|
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 status post coronary artery bypass graft
Essential facts and insights about Status Post Coronary Artery Bypass Graft
Primary ICD-10-CM Codes for status post coronary artery bypass graft
Decision Criteria
clinical Criteria
- Patient has a history of CABG surgery.
Applicable To
- Status post coronary artery bypass graft
Excludes
- Presence of other vascular implants and grafts (Z95.8)
Clinical Validation Requirements
- Operative report confirming CABG
- Current medication list indicating antiplatelet therapy
Code-Specific Risks
- Ensure documentation specifies CABG status to avoid misclassification.
Coding Notes
- Always verify the type of graft used (arterial vs. venous) for accurate documentation.
I25.10 - Atherosclerotic heart disease of native coronary artery without angina pectoris
Use when documenting the underlying condition requiring CABG.
Applicable To
- Coronary artery disease
Excludes
- Acute myocardial infarction (I21.-)
Clinical Validation Requirements
- Cardiology report indicating coronary artery disease
- Imaging studies showing coronary artery stenosis
Coding Notes
Ensure to document any symptoms or complications related to CAD.
T82.2XXA - Complications of cardiac and vascular prosthetic devices, implants and grafts
Use when documenting complications related to the CABG.
Applicable To
- Mechanical complication of coronary artery bypass graft
Excludes
- Infection and inflammatory reaction due to cardiac device (T82.6-)
Clinical Validation Requirements
- Operative report detailing graft complication
- Imaging or lab results confirming complication
Coding Notes
Document the specific nature of the complication for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.10Differential 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 Status Post Coronary Artery Bypass Graft to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z95.5.
Impact
Clinical: Lacks detail needed for comprehensive care., Regulatory: May not meet documentation standards., Financial: Can lead to denied claims or incorrect billing.
Mitigation Strategy
Use specific terms like 'status post CABG'., Include details of the surgery and current status.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Misclassification can result in compliance issues., Data Quality: Affects the accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies CABG status, not just angioplasty.
Impact
Reimbursement: May affect DRG assignment and reimbursement., Compliance: Incomplete coding can lead to audit issues., Data Quality: Reduces the completeness of the patient's medical history.
Mitigation Strategy
Always include the underlying coronary artery disease code.
Impact
Failure to document all relevant details of the CABG and any complications.
Mitigation Strategy
Implement thorough documentation practices and regular audits.
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 Status Post Coronary Artery Bypass Graft, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Status Post Coronary Artery Bypass Graft
Use these documentation templates to ensure complete and accurate documentation for Status Post Coronary Artery Bypass Graft. These templates include all required elements for proper coding and billing.
Routine Follow-up Post-CABG
Specialty: CardiologyRequired Elements
- Date of CABG
- Graft details
- Current symptoms
- Functional status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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