Complete ICD-10-CM coding and documentation guide for History of Coronary Artery Bypass Graft (CABG). Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Complete code families applicable to History of Coronary Artery Bypass Graft (CABG)
Presence of aortocoronary bypass graft
This code is used to indicate the presence of a coronary artery bypass graft without active complications.
Atherosclerosis of coronary artery bypass graft(s)
This range is used when there is active coronary artery disease affecting the grafts.
Compare key differences between these codes to ensure accurate selection
Code | Description | When to Use | Key Documentation |
---|---|---|---|
Z95.1 | Presence of aortocoronary bypass graft | Use when documenting a history of CABG without active coronary artery disease affecting the graft. |
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I25.700 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina | Use when there is documented atherosclerosis in the graft with unstable angina. |
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Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Essential facts and insights about History of Coronary Artery Bypass Graft (CABG)
Use when there is documented atherosclerosis in the graft with unstable angina.
Ensure documentation specifies the involvement of the graft in the disease process.
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.10Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.110Avoid these common documentation and coding issues when documenting History of Coronary Artery Bypass Graft (CABG) to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z95.1.
Clinical: May lead to inappropriate treatment decisions., Regulatory: Potential for audit issues., Financial: Risk of claim denials.
Use specific terms like 'graft stenosis' or 'native vessel disease'., Ensure operative reports are available.
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Use I25.7- for active disease and Z95.1 as a secondary code.
Failure to specify vessel involvement can lead to coding errors.
Implement a checklist for documentation review.
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.
Common questions about ICD-10 coding for History of Coronary Artery Bypass Graft (CABG), with expert answers to help guide accurate code selection and documentation.
Use these documentation templates to ensure complete and accurate documentation for History of Coronary Artery Bypass Graft (CABG). These templates include all required elements for proper coding and billing.
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