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ICD-10 Coding for Stent Placement(Z95.5, T82.528A)

Complete ICD-10-CM coding and documentation guide for Stent Placement. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Percutaneous Coronary InterventionPCICoronary Stenting

Related ICD-10 Code Ranges

Complete code families applicable to Stent Placement

Z95.5Primary Range

Presence of coronary angioplasty implant and graft

Used to indicate the presence of a stent after placement.

Complications of cardiac and vascular prosthetic devices, implants and grafts

Used for complications related to stent placement.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
Z95.5Presence of coronary angioplasty implant and graftUse when documenting the presence of a coronary stent post-procedure.
  • Imaging confirmation of stent placement
  • Procedure notes indicating stent type and location
T82.528ADisplacement of coronary stentUse when there is documented evidence of stent displacement.
  • Imaging evidence of stent displacement
  • Clinical notes indicating displacement

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 stent placement

Essential facts and insights about Stent Placement

The ICD-10 code for the presence of a coronary stent is Z95.5. For complications, use the T82.5 series.

Primary ICD-10-CM Codes for stent placement

Presence of coronary angioplasty implant and graft
Billable Code

Decision Criteria

clinical Criteria

  • Presence of a coronary stent confirmed by imaging

Applicable To

  • Presence of coronary stent

Excludes

  • Complications of coronary stent (T82.5-)

Clinical Validation Requirements

  • Imaging confirmation of stent placement
  • Procedure notes indicating stent type and location

Code-Specific Risks

  • Incorrectly used for complications instead of T82.5

Coding Notes

  • Ensure documentation specifies stent type and location.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Injection procedure during cardiac catheterization

93543
Use when injection procedures are performed during stent placement.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Displacement of coronary stent

T82.528A
Use for complications involving stent displacement.

Presence of coronary angioplasty implant and graft

Z95.5
Use for non-complicated presence of stent.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Stent Placement to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z95.5.

Impact

Clinical: Inaccurate treatment records., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Use templates for procedure notes, Cross-check with imaging reports

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use T82.5 series for complications.

Impact

Inadequate documentation of stent complications.

Mitigation Strategy

Ensure detailed procedure notes and imaging reports.

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 Stent Placement, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Stent Placement

Use these documentation templates to ensure complete and accurate documentation for Stent Placement. These templates include all required elements for proper coding and billing.

Coronary Stent Placement

Specialty: Cardiology

Required Elements

  • Procedure type
  • Stent type and size
  • Vessel location
  • Imaging confirmation

Example Documentation

3.5 x 28 mm drug-eluting stent placed in mid-LAD under IVUS guidance.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Stent placed in RCA.
Good Documentation Example
4.0 x 28 mm drug-eluting stent placed in mid-right coronary artery (RC) under IVUS guidance to treat 90% calcified lesion.
Explanation
The good example specifies stent type, size, location, and imaging guidance.

Need help with ICD-10 coding for Stent Placement? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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