ICD-10 Coding for Status Post PCI(Z98.61, Z95.5, Z95.820)
Complete ICD-10-CM coding and documentation guide for Status Post PCI. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Status Post PCI
Z95-Z98Primary Range
Presence of cardiac and vascular implants and grafts
This range includes codes for the status of cardiac procedures and the presence of implants, such as stents, following PCI.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z98.61 | Status post coronary angioplasty without implant and graft | Use when documenting a patient's history of coronary angioplasty without stent placement. |
|
| Z95.5 | Presence of coronary angioplasty implant and graft | Use when a patient has a coronary stent in place. |
|
| Z95.820 | Presence of one coronary stent | Use when only one coronary stent is present. |
|
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 PCI
Essential facts and insights about Status Post PCI
Primary ICD-10-CM Codes for status post pci
Decision Criteria
clinical Criteria
- Patient has undergone angioplasty without stent placement.
Applicable To
- Status post angioplasty
Excludes
- Presence of coronary stent (Z95.5)
Clinical Validation Requirements
- Documentation of prior coronary angioplasty
- Absence of stent placement in the procedure note
Code-Specific Risks
- Misuse if stent was placed during the procedure.
Coding Notes
- Ensure documentation specifies the absence of stent placement.
Z95.5 - Presence of coronary angioplasty implant and graft
Use when a patient has a coronary stent in place.
Applicable To
- Presence of coronary stent
Excludes
- Status post coronary angioplasty without implant (Z98.61)
Clinical Validation Requirements
- Cath report confirming stent placement
- Clinical notes specifying stent presence
Coding Notes
Ensure documentation includes stent details.
Z95.820 - Presence of one coronary stent
Use when only one coronary stent is present.
Applicable To
- Single coronary stent
Excludes
- Multiple coronary stents (Z95.828)
Clinical Validation Requirements
- Cath report indicating single stent placement
Coding Notes
Verify the number of stents in documentation.
Differential 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 PCI to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z98.61.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Potential audit issues., Financial: Incorrect billing.
Mitigation Strategy
Ensure detailed procedure notes, Verify stent details
Impact
Reimbursement: Incorrect reimbursement due to misclassification., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify the number of stents and use Z95.820 for a single stent.
Impact
Incomplete stent details can lead to coding errors.
Mitigation Strategy
Ensure cath reports are complete and accurate.
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 PCI, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Status Post PCI
Use these documentation templates to ensure complete and accurate documentation for Status Post PCI. These templates include all required elements for proper coding and billing.
Post-PCI Follow-up
Specialty: CardiologyRequired Elements
- Procedure date
- Vessels treated
- Stent details
- Current medications
- Complications
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Status Post PCI? Ask your questions below.