ICD-10 Coding for Calcification of Coronary Artery(I25.84, I25.83)
Complete ICD-10-CM coding and documentation guide for Calcification of Coronary Artery. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Calcification of Coronary Artery
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for chronic ischemic heart diseases, including calcified coronary lesions.
Atherosclerosis
This range includes codes for atherosclerosis, which may be relevant if peripheral involvement is present.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.84 | Calcified coronary lesion | Use when calcification is confirmed by imaging and is the primary cause of coronary artery disease. |
|
| I25.83 | Lipid-rich plaque | Use when lipid-rich plaque is identified without dominant calcification. |
|
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 calcification of coronary artery
Essential facts and insights about Calcification of Coronary Artery
Primary ICD-10-CM Codes for calcification of coronary artery
Decision Criteria
clinical Criteria
- Presence of calcified coronary lesion on imaging
documentation Criteria
- Explicit mention of calcified coronary lesion
Applicable To
- Coronary artery calcification
Excludes
- Coronary atherosclerosis without calcification
Clinical Validation Requirements
- CT/CCTA evidence of calcium density >130 HU
- Agatston score ≥100
Code-Specific Risks
- Incorrect use without imaging confirmation
- Failure to document specific calcification details
Coding Notes
- Ensure imaging studies are documented to support the use of this code.
I25.83 - Lipid-rich plaque
Use when lipid-rich plaque is identified without dominant calcification.
Applicable To
- Non-calcified coronary plaque
Excludes
- Calcified coronary lesion
Clinical Validation Requirements
- IVUS/OCT confirmation of lipid-rich plaque
Coding Notes
Ensure lipid-rich plaque is documented with appropriate imaging.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Calcification of Coronary Artery to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.84.
Impact
Clinical: Leads to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure imaging reports are attached to patient records, Train staff on documentation standards
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I25.84 when calcification is confirmed by imaging.
Impact
Lack of imaging evidence for calcified lesions.
Mitigation Strategy
Implement mandatory imaging documentation protocols.
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 Calcification of Coronary Artery, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Calcification of Coronary Artery
Use these documentation templates to ensure complete and accurate documentation for Calcification of Coronary Artery. These templates include all required elements for proper coding and billing.
Stable Coronary Artery Disease
Specialty: CardiologyRequired Elements
- Patient history
- Imaging results
- Agatston score
- Symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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