ICD-10 Coding for Arteriosclerotic Heart Disease(I25.10, I25.110)
Complete ICD-10-CM coding and documentation guide for Arteriosclerotic Heart Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Arteriosclerotic Heart Disease
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for arteriosclerotic heart disease, specifying presence of angina and type.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris | Use when ASHD is present without angina symptoms. |
|
| I25.110 | Atherosclerotic heart disease of native coronary artery with unstable angina pectoris | Use when ASHD is present with unstable angina. |
|
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 arteriosclerotic heart disease
Essential facts and insights about Arteriosclerotic Heart Disease
Primary ICD-10-CM Codes for arteriosclerotic heart disease
Decision Criteria
clinical Criteria
- No angina symptoms present
Applicable To
- Coronary artery disease without angina
Excludes
- Atherosclerotic heart disease with angina (I25.11-)
Clinical Validation Requirements
- Coronary angiography showing stenosis
- Absence of angina symptoms
Code-Specific Risks
- Misclassification if angina is present but not documented
Coding Notes
- Ensure documentation specifies absence of angina.
I25.110 - Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
Use when ASHD is present with unstable angina.
Applicable To
- Coronary artery disease with unstable angina
Excludes
- Stable angina (I25.111)
Clinical Validation Requirements
- Documentation of unstable angina
- ECG changes or elevated cardiac markers
Coding Notes
Ensure documentation specifies unstable angina.
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 Arteriosclerotic Heart Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use templates that prompt for angina type, Regular training on documentation standards
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query provider to confirm absence of angina or specify type.
Impact
Inadequate documentation of angina type can lead to audits.
Mitigation Strategy
Ensure comprehensive documentation of symptoms and diagnostic findings.
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 Arteriosclerotic Heart Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Arteriosclerotic Heart Disease
Use these documentation templates to ensure complete and accurate documentation for Arteriosclerotic Heart Disease. These templates include all required elements for proper coding and billing.
ASHD with unstable angina
Specialty: CardiologyRequired Elements
- HPI detailing angina type
- PMH of coronary interventions
- Current medications
- Assessment with MEAT elements
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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