ICD-10 Coding for History of Heart Attack(I25.2)
Complete ICD-10-CM coding and documentation guide for History of Heart Attack. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Heart Attack
I20-I25Primary Range
Ischemic Heart Diseases
This range includes codes for various forms of ischemic heart diseases, including myocardial infarction.
Personal history of diseases of the circulatory system
This range includes codes for personal history of circulatory system diseases, used when myocardial infarction is not confirmed.
Key Information: ICD-10 code for history of heart attack
Essential facts and insights about History of Heart Attack
Primary ICD-10-CM Code for history of heart attack
Decision Criteria
clinical Criteria
- Healed MI confirmed by ECG or imaging
coding Criteria
- No acute symptoms or complications present
documentation Criteria
- Explicit mention of 'healed' or 'old' MI
Applicable To
- Healed myocardial infarction
Excludes
- Acute myocardial infarction (I21-I22)
Clinical Validation Requirements
- ECG findings showing Q waves
- Echocardiogram showing wall motion abnormalities
- Cardiac MRI evidence of scar tissue
Code-Specific Risks
- Incorrectly using for recent MI within four weeks
Coding Notes
- Ensure documentation specifies 'healed' or 'old' myocardial infarction.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of other diseases of circulatory system
Z86.79Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acute myocardial infarction, unspecified
I21.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Heart Attack to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.2.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Use specific terms like 'healed' or 'old' MI, Include diagnostic confirmation
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I21.9 for acute MI within four weeks.
Impact
Using I25.2 for recent MI within four weeks.
Mitigation Strategy
Ensure documentation confirms the MI is healed and beyond the acute phase.
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 Heart Attack, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Heart Attack
Use these documentation templates to ensure complete and accurate documentation for History of Heart Attack. These templates include all required elements for proper coding and billing.
Patient with history of MI
Specialty: CardiologyRequired Elements
- Healed myocardial infarction confirmed by ECG
- No current symptoms of ischemia
- Timeline of MI occurrence
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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