ICD-10 Coding for Coronary Artery Bypass Graft(I25.10, Z95.1)
Complete ICD-10-CM coding and documentation guide for 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 Coronary Artery Bypass Graft
I25.10-I25.9Primary Range
Chronic ischemic heart disease
Primary range for coding coronary artery disease leading to CABG.
Presence of aortocoronary bypass graft
Used for documenting the presence of a CABG in follow-up visits.
Mechanical complications of cardiac and vascular devices, implants and grafts
Used for coding complications related to CABG.
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 documenting CAD as the reason for CABG. |
|
| Z95.1 | Presence of aortocoronary bypass graft | Use for routine follow-up visits where CABG status is noted. |
|
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: How to code CABG with multiple grafts?
Essential facts and insights about Coronary Artery Bypass Graft
Primary ICD-10-CM Codes for cabg
Decision Criteria
clinical Criteria
- Documented evidence of coronary artery stenosis.
Applicable To
- Coronary artery disease (CAD)
Excludes
- Acute myocardial infarction (I21.-)
Clinical Validation Requirements
- Angiogram showing ≥70% stenosis in native coronary artery
Code-Specific Risks
- Ensure documentation specifies the absence of angina.
Coding Notes
- Ensure angiogram results are documented to support the diagnosis.
Z95.1 - Presence of aortocoronary bypass graft
Use for routine follow-up visits where CABG status is noted.
Applicable To
- History of CABG
Excludes
- Current complications of CABG (T82.211A-T82.218A)
Clinical Validation Requirements
- Documentation of previous CABG surgery.
Coding Notes
Ensure the patient's surgical history is clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for preprocedural cardiovascular examination
Z01.810Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.110Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coronary Artery Bypass Graft to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.10.
Impact
Clinical: Inaccurate representation of surgical procedure., Regulatory: Potential audit issues., Financial: Incorrect reimbursement due to DRG misclassification.
Mitigation Strategy
Use detailed templates for operative notes., Cross-check with surgical team.
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query for specific graft types and target vessels.
Impact
Lack of specific graft details can trigger audits.
Mitigation Strategy
Implement detailed documentation templates.
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 Coronary Artery Bypass Graft, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coronary Artery Bypass Graft
Use these documentation templates to ensure complete and accurate documentation for Coronary Artery Bypass Graft. These templates include all required elements for proper coding and billing.
CABG with multiple grafts
Specialty: Cardiothoracic SurgeryRequired Elements
- Graft type
- Target vessels
- Bypass method
- Cardiopulmonary bypass time
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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