ICD-10 Coding for History of NSTEMI(I25.2, Z86.79)
Complete ICD-10-CM coding and documentation guide for History of NSTEMI. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of NSTEMI
I25.2Primary Range
Old myocardial infarction
Used for documenting a history of myocardial infarction, including NSTEMI, when the type is specified.
Personal history of other diseases of circulatory system
Used as an ancillary code to specify a history of circulatory system diseases, including NSTEMI.
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 documenting a history of NSTEMI with clear specification in the medical record. |
|
| Z86.79 | Personal history of other diseases of circulatory system | Use as an ancillary code to provide additional detail about the patient's history. |
|
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 history of NSTEMI
Essential facts and insights about History of NSTEMI
Primary ICD-10-CM Codes for history of nstemi
Decision Criteria
documentation Criteria
- Explicit mention of 'NSTEMI' in the patient's history
clinical Criteria
- No current symptoms or treatment related to acute myocardial infarction
Applicable To
- History of myocardial infarction
- Old myocardial infarction
Excludes
- Acute myocardial infarction (I21.-)
Clinical Validation Requirements
- Explicit documentation of NSTEMI
- No recurrent symptoms since the initial event
- Troponin levels and ECG findings from the initial event
Code-Specific Risks
- Incorrectly using for acute NSTEMI
- Lack of specificity in documentation
Coding Notes
- Ensure documentation explicitly states 'NSTEMI' and includes relevant historical clinical data.
Z86.79 - Personal history of other diseases of circulatory system
Use as an ancillary code to provide additional detail about the patient's history.
Applicable To
- History of circulatory system diseases
Clinical Validation Requirements
- Documentation of past circulatory system diseases
- Used in conjunction with primary codes like I25.2
Coding Notes
This code provides additional context for the patient's medical history.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of NSTEMI 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 history, Regulatory: Potential audit issues, Financial: Incorrect billing and reimbursement
Mitigation Strategy
Ensure specific documentation of NSTEMI, Include relevant clinical details
Impact
Reimbursement: Incorrect reimbursement due to coding acute conditions as historical, Compliance: Non-compliance with ICD-10 guidelines, Data Quality: Inaccurate patient records and data reporting
Mitigation Strategy
Use I25.2 for history of NSTEMI
Impact
Using acute codes for historical conditions
Mitigation Strategy
Ensure documentation specifies history and not acute status.
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 NSTEMI, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of NSTEMI
Use these documentation templates to ensure complete and accurate documentation for History of NSTEMI. These templates include all required elements for proper coding and billing.
Cardiology Follow-Up
Specialty: CardiologyRequired Elements
- Explicit mention of NSTEMI
- Date of initial event
- Current status and management
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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