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ICD-10 Coding for Family History of Myocardial Infarction(Z82.49)

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

Also known as:

Family History of Heart AttackFamily History of Ischemic Heart Disease

Related ICD-10 Code Ranges

Complete code families applicable to Family History of Myocardial Infarction

Z82-Z83Primary Range

Family history of certain conditions

This range includes codes for family history of ischemic heart disease, including myocardial infarction.

Key Information: ICD-10 code for family history of myocardial infarction

Essential facts and insights about Family History of Myocardial Infarction

The ICD-10 code for family history of myocardial infarction is Z82.49.

Primary ICD-10-CM Code for family history of myocardial infarction

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

Decision Criteria

documentation Criteria

  • Document the number of affected relatives and their relationship to the patient.

Applicable To

  • Family history of myocardial infarction
  • Family history of ischemic heart disease

Excludes

  • Personal history of myocardial infarction (Z86.74)

Clinical Validation Requirements

  • Documentation of at least one first- or second-degree relative with myocardial infarction
  • Age of onset of myocardial infarction in relatives if known

Code-Specific Risks

  • Risk of under-documentation if specific details about relatives are not included.

Coding Notes

  • Ensure documentation specifies the relationship and age of onset for relatives with myocardial infarction.

Differential Codes

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

Family history of stroke

Z82.3
Use Z82.3 for family history of stroke, not myocardial infarction.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Family History of Myocardial Infarction 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 underestimation of patient risk., Regulatory: Could result in audit discrepancies., Financial: Potential impact on reimbursement due to incorrect risk adjustment.

Mitigation Strategy

Use templates to ensure comprehensive documentation., Educate clinicians on the importance of specific family history details.

Impact

Reimbursement: Incorrect coding may affect risk adjustment scores., Compliance: May lead to compliance issues during audits., Data Quality: Reduces accuracy of patient risk profiles.

Mitigation Strategy

Ensure documentation specifies myocardial infarction to use Z82.49.

Impact

Lack of specific details in family history documentation.

Mitigation Strategy

Implement documentation templates and clinician education.

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 Myocardial Infarction, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Family History of Myocardial Infarction

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

Primary Care Visit

Specialty: Family Medicine

Required Elements

  • Relationship to patient
  • Age at diagnosis
  • Type of myocardial infarction if known

Example Documentation

Family History: Father - MI at age 50; Brother - MI at age 48.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Family history of heart disease.
Good Documentation Example
Father and brother had myocardial infarction; father at age 50, brother at age 48.
Explanation
The good example provides specific details necessary for accurate coding and risk assessment.

Need help with ICD-10 coding for Family History of Myocardial Infarction? Ask your questions below.

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