ICD-10 Coding for Occluded Saphenous Vein Graft to Posterior Descending Artery(I25.810, T82.898A)
Complete ICD-10-CM coding and documentation guide for Occluded Saphenous Vein Graft to Posterior Descending Artery. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Occluded Saphenous Vein Graft to Posterior Descending Artery
I25.810-I25.819Primary Range
Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart
Primary range for chronic occlusion due to atherosclerosis in coronary artery bypass grafts.
Other specified complications of cardiac and vascular prosthetic devices, implants and grafts
Used for acute occlusion due to complications such as thrombosis or mechanical failure.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I25.810 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris | For chronic occlusion due to atherosclerosis in SVG. |
|
| T82.898A | Other specified complications of cardiac and vascular prosthetic devices, implants and grafts, initial encounter | For acute occlusion due to complications like thrombosis. |
|
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 occluded saphenous vein graft
Essential facts and insights about Occluded Saphenous Vein Graft to Posterior Descending Artery
Primary ICD-10-CM Codes for saphenous vein graft to posterior descending artery - occluded
Decision Criteria
clinical Criteria
- Chronic symptoms and angiographic evidence of atherosclerosis
Applicable To
- Chronic occlusion of SVG due to atherosclerosis
Excludes
- Acute occlusion due to thrombosis (T82.898A)
Clinical Validation Requirements
- Angiographic evidence of plaque buildup
- Chronic symptoms such as stable angina
Code-Specific Risks
- Misclassification of acute occlusion as chronic
Coding Notes
- Ensure documentation specifies atherosclerosis as the cause.
T82.898A - Other specified complications of cardiac and vascular prosthetic devices, implants and grafts, initial encounter
For acute occlusion due to complications like thrombosis.
Applicable To
- Acute occlusion due to thrombosis or mechanical failure
Excludes
- Chronic occlusion due to atherosclerosis (I25.810)
Clinical Validation Requirements
- Acute symptoms such as MI
- Imaging showing thrombus or mechanical failure
Coding Notes
Document the acute nature and cause of the occlusion.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other specified complications of cardiac and vascular prosthetic devices, implants and grafts, initial encounter
T82.898AAtherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris
I25.810Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Occluded Saphenous Vein Graft to Posterior Descending Artery to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I25.810.
Impact
Clinical: Inaccurate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Thorough review of angiographic reports, Clear documentation of patient history
Impact
Reimbursement: Potential underpayment due to incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure documentation specifies atherosclerosis in the graft.
Impact
Risk of audits due to misclassification of occlusion as acute or chronic
Mitigation Strategy
Ensure detailed documentation of angiographic findings and patient history.
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 Occluded Saphenous Vein Graft to Posterior Descending Artery, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Occluded Saphenous Vein Graft to Posterior Descending Artery
Use these documentation templates to ensure complete and accurate documentation for Occluded Saphenous Vein Graft to Posterior Descending Artery. These templates include all required elements for proper coding and billing.
Acute thrombotic occlusion post-CABG
Specialty: CardiologyRequired Elements
- Patient history
- Angiographic findings
- Thrombus presence
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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