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ICD-10 Coding for Family History of Coronary Artery Disease(Z82.49)

Complete ICD-10-CM coding and documentation guide for Family History of Coronary Artery Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Family History of CADFamily History of Ischemic Heart Disease

Related ICD-10 Code Ranges

Complete code families applicable to Family History of Coronary Artery Disease

Z82-Z84Primary Range

Family history of certain conditions

This range includes codes for family history of various diseases, including coronary artery disease.

Key Information: ICD-10 code for family history of coronary artery disease

Essential facts and insights about Family History of Coronary Artery Disease

The ICD-10 code for family history of coronary artery disease is Z82.49.

Primary ICD-10-CM Code for family history of coronary artery disease

Family history of ischemic heart disease and other circulatory diseases
Billable Code

Decision Criteria

documentation Criteria

  • Document specific relative and age of onset for CAD.

Applicable To

  • Family history of coronary artery disease
  • Family history of myocardial infarction

Excludes

  • Family history of cerebrovascular disease (Z82.3)

Clinical Validation Requirements

  • Documentation of first-degree relative with ischemic heart disease
  • Age of onset for male relatives <55, female relatives <65

Code-Specific Risks

  • Incorrect use for non-first-degree relatives
  • Lack of specificity in documentation

Coding Notes

  • Ensure documentation specifies the relationship and age of onset for accurate coding.

Ancillary Codes

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

Family history of familial hypercholesterolemia

Z84.81
Use when there is a documented family history of hypercholesterolemia.

Differential Codes

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

Family history of cerebrovascular disease

Z82.3
Use Z82.3 for family history of stroke or other cerebrovascular conditions.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Family History of Coronary Artery Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z82.49.

Impact

Clinical: May lead to inadequate risk assessment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.

Mitigation Strategy

Use structured templates, Educate clinicians on documentation requirements

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate family history data in patient records.

Mitigation Strategy

Ensure documentation specifies first-degree relatives only.

Impact

Inadequate documentation of family history details.

Mitigation Strategy

Use structured templates and regular training.

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 Family History of Coronary Artery Disease, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Family History of Coronary Artery Disease

Use these documentation templates to ensure complete and accurate documentation for Family History of Coronary Artery Disease. These templates include all required elements for proper coding and billing.

Documenting family history of CAD

Specialty: Cardiology

Required Elements

  • First-degree relative
  • Age of onset
  • Specific cardiac event

Examples: Poor vs. Good Documentation

Poor Documentation Example
Family history of heart disease.
Good Documentation Example
Father had a myocardial infarction at age 50.
Explanation
The good example provides specific details required for accurate coding.

Need help with ICD-10 coding for Family History of Coronary Artery Disease? Ask your questions below.

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