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ICD-10 Coding for Typical Angina(I20.8, I25.11-)

Complete ICD-10-CM coding and documentation guide for Typical Angina. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Stable AnginaExertional Angina

Related ICD-10 Code Ranges

Complete code families applicable to Typical Angina

I20-I25Primary Range

Ischemic Heart Diseases

This range includes codes for angina pectoris and related ischemic heart diseases.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I20.8Other forms of angina pectorisUse for stable angina triggered by exertion and relieved by rest or nitrates.
  • Exertional chest pain relieved by rest or nitroglycerin
  • No evidence of acute coronary syndrome
I25.11-Atherosclerotic heart disease with angina pectorisUse when CAD is documented alongside angina symptoms.
  • Coronary imaging showing atherosclerosis
  • Documentation of angina symptoms

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 typical angina

Essential facts and insights about Typical Angina

The ICD-10 code for typical angina is I20.8, used for exertional chest pain relieved by rest or nitroglycerin.

Primary ICD-10-CM Codes for typical angina

Other forms of angina pectoris
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of exertional chest pain relieved by rest

documentation Criteria

  • Documentation of CCS Class for angina

Applicable To

  • Stable angina

Excludes

Clinical Validation Requirements

  • Exertional chest pain relieved by rest or nitroglycerin
  • No evidence of acute coronary syndrome

Code-Specific Risks

  • Misclassification as unspecified angina (I20.9)

Coding Notes

  • Ensure documentation specifies exertional triggers and relief by rest or nitroglycerin.

Ancillary Codes

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

Atherosclerotic heart disease with angina pectoris

I25.11-
Use when CAD is present alongside angina.

Differential Codes

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

Unstable angina

I20.0
Use when symptoms occur at rest or are worsening.

Atherosclerotic heart disease without angina pectoris

I25.10
Use when CAD is present but no angina symptoms are documented.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Typical Angina to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I20.8.

Impact

Clinical: Inaccurate treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential reimbursement issues

Mitigation Strategy

Train staff on documentation requirements, Use templates to ensure completeness

Impact

Reimbursement: Potential underpayment due to lack of specificity, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy in clinical data

Mitigation Strategy

Query for CCS class or exertion details to use I20.8 or I20.0 appropriately.

Impact

Frequent use of unspecified codes can trigger audits.

Mitigation Strategy

Ensure documentation supports the most specific code possible.

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 Typical Angina, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Typical Angina

Use these documentation templates to ensure complete and accurate documentation for Typical Angina. These templates include all required elements for proper coding and billing.

Stable angina in a cardiology clinic

Specialty: Cardiology

Required Elements

  • Chief complaint
  • History of present illness
  • Review of systems
  • Physical exam
  • Diagnostics
  • Assessment and plan

Example Documentation

Patient presents with exertional chest pain relieved by rest. EKG shows no acute changes. Plan includes stress test.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient reports chest pain.
Good Documentation Example
Patient describes exertional chest pain relieved by rest, consistent with CCS Class II angina.
Explanation
The good example provides specific details about the nature and triggers of the angina, allowing for accurate coding.

Need help with ICD-10 coding for Typical Angina? Ask your questions below.

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