ICD-10 Coding for History of Coronary Disease(I25.2, I25.10)
Complete ICD-10-CM coding and documentation guide for History of Coronary Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Coronary Disease
I25.1-I25.9Primary Range
Chronic Ischemic Heart Disease
This range includes codes for chronic coronary conditions, including history of myocardial infarction and coronary artery disease.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.2 | Old Myocardial Infarction | Use when the myocardial infarction is healed and there are no acute symptoms. |
|
| I25.10 | Atherosclerotic Heart Disease of Native Coronary Artery Without Angina Pectoris | Use when there is documented coronary artery disease without current angina symptoms. |
|
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 old myocardial infarction
Essential facts and insights about History of Coronary Disease
Primary ICD-10-CM Codes for history of coronary disease
Decision Criteria
clinical Criteria
- Evidence of healed myocardial infarction on ECG or imaging
Applicable To
- Healed myocardial infarction
Excludes
- Acute myocardial infarction (I21.-)
Clinical Validation Requirements
- ECG showing Q-waves
- Imaging evidence of myocardial scarring
Code-Specific Risks
- Misclassification if acute symptoms are present
Coding Notes
- Ensure documentation specifies 'healed' or 'old' myocardial infarction.
I25.10 - Atherosclerotic Heart Disease of Native Coronary Artery Without Angina Pectoris
Use when there is documented coronary artery disease without current angina symptoms.
Applicable To
- Coronary artery disease without angina
Excludes
- Atherosclerotic heart disease with angina pectoris (I25.11-I25.19)
Clinical Validation Requirements
- Angiographic evidence of coronary artery disease
Coding Notes
Ensure angina status is clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of Aortocoronary Bypass Graft
Z95.1Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Coronary Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.2.
Impact
Clinical: Inaccurate patient records, Regulatory: Potential audit issues, Financial: Incorrect reimbursement
Mitigation Strategy
Use specific terms like 'healed MI', Include diagnostic evidence
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data
Mitigation Strategy
Use I25.11 series for CAD with angina
Impact
Lack of specific evidence for old myocardial infarction
Mitigation Strategy
Ensure ECG and imaging evidence are documented
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 History of Coronary Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Coronary Disease
Use these documentation templates to ensure complete and accurate documentation for History of Coronary Disease. These templates include all required elements for proper coding and billing.
Follow-up for CAD management
Specialty: CardiologyRequired Elements
- Current symptoms
- Recent test results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for History of Coronary Disease? Ask your questions below.