ICD-10-CM Diagnosis Code I25.10 coding Guidelines 2023

 

The ICD-10-CM code I25.10 is used to indicate the diagnosis of atherosclerotic heart disease of native coronary artery without angina pectoris. This code specifically refers to the buildup of plaque in the arteries of the heart, which can lead to reduced blood flow to the heart muscle and potentially cause serious complications such as heart attack or heart failure.

 

ICD-10-CM Diagnosis Code I25.10 coding Guidelines 2023

 

It's important to note that this code should only be used when the patient has atherosclerotic heart disease without angina pectoris. If angina pectoris is present, the appropriate code for angina pectoris should be assigned instead. Additionally, if the patient has had a previous myocardial infarction (heart attack) or has a history of coronary artery bypass graft (CABG) surgery or percutaneous coronary intervention (PCI), additional codes should be assigned to reflect those conditions.

 

Accurate diagnosis coding is important for proper medical billing and also helps to ensure appropriate treatment and management of the patient's condition.

 

The ICD-10-CM coding guidelines for the diagnosis code I25.10 provide specific instructions for accurately assigning this code.

 

The following are some coding guidelines for ICD-10-CM Diagnosis Code I25.10:

 

1.     Code I25.10 should be used only for atherosclerotic heart disease of a native coronary artery without angina pectoris.

2.     If angina pectoris is present, the appropriate code for angina pectoris should be assigned.

3.     If acute myocardial infarction (AMI) is present, the appropriate code for AMI should be assigned.

4.     If the patient has a history of a previous AMI, code Z86.73 should be assigned as an additional code.

5.     If the patient has a history of coronary artery bypass graft (CABG) surgery, the appropriate history of CABG surgery code should be assigned as an additional code.

6.     If the patient has a history of percutaneous coronary intervention (PCI) with stenting, the appropriate history of PCI with stenting code should be assigned as an additional code.

7.     If the patient has both a history of CABG surgery and a history of PCI with stenting, both history codes should be assigned.

8.     If the patient has atherosclerosis of a coronary artery graft, the appropriate code for atherosclerosis of a coronary artery bypass graft should be assigned.

9.     Additional codes may be assigned to identify any associated conditions or complications.

  

Symptoms of atherosclerotic heart disease may include:

  

1.     Chest pain or discomfort (angina) - this may feel like pressure, squeezing, or fullness in the chest that may come and go.

2.     Shortness of breath - this may occur with exertion or at rest.

3.     Fatigue - this may be a result of the heart not receiving enough oxygen-rich blood.

4.     Heart attack - this occurs when a blockage in the coronary artery prevents blood flow to a part of the heart muscle.

5.     Arrhythmias - these are abnormal heart rhythms that may be a result of the heart not receiving enough oxygen-rich blood.

6.     Palpitations - these are sensations of rapid or irregular heartbeats.

  

Causes of atherosclerotic heart disease can include:

  

1.     High blood pressure (hypertension) - this can damage the lining of the arteries, making them more vulnerable to the buildup of plaque.

2.     High cholesterol levels - high levels of low-density lipoprotein (LDL) cholesterol, also known as "bad" cholesterol, can contribute to the buildup of plaque in the arteries.

3.     Smoking - chemicals in tobacco smoke can damage the lining of the arteries, making them more vulnerable to plaque buildup.

4.     Diabetes - high blood sugar levels can contribute to the buildup of plaque in the arteries.

5.     Family history of heart disease - a family history of heart disease can increase the risk of developing atherosclerotic heart disease.

6.     Obesity or overweight - excess body weight can contribute to high blood pressure, high cholesterol levels, and diabetes, all of which are risk factors for atherosclerotic heart disease.

7.     Sedentary lifestyle - lack of physical activity can contribute to high blood pressure, high cholesterol levels, and obesity, all of which are risk factors for atherosclerotic heart disease.

  

Complications of atherosclerotic heart disease can include:

  

1.     Heart attack - this occurs when a blockage in a coronary artery prevents blood flow to a part of the heart muscle.

2.     Angina - this is chest pain or discomfort that occurs when the heart doesn't receive enough oxygen-rich blood.

3.     Heart failure - this occurs when the heart is unable to pump enough blood to meet the body's needs.

4.     Arrhythmias - these are abnormal heart rhythms that can be a result of the heart not receiving enough oxygen-rich blood.

5.     Aneurysm - this is a bulge or weakness in the wall of an artery that can rupture and cause internal bleeding.

6.     Peripheral artery disease (PAD) - this occurs when the arteries that supply blood to the limbs become narrow or blocked.

7.     Stroke - this occurs when a blockage or rupture of a blood vessel in the brain prevents blood flow to a part of the brain.

8.     Sudden cardiac death - this is a sudden, unexpected loss of heart function, often caused by an arrhythmia.

 

 

Related ICD-10-I25.10, atherosclerotic heart disease

  

ICD-10 code I25.10 specifically refers to atherosclerotic heart disease of native coronary artery without angina pectoris. This code is used to identify patients with atherosclerotic heart disease who do not experience chest pain or discomfort (angina) as a symptom.

 

Atherosclerotic heart disease is a common cause of chest pain or discomfort, particularly in older adults.

  

Other ICD-10 codes that may be used to identify atherosclerotic heart disease include:

  

1.     I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina

2.     I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm

3.     I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris

4.     I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris

 

It's important to review the official ICD-10-CM coding guidelines in their entirety to ensure accurate and complete coding. It's also recommended to consult with a certified medical coder or healthcare professional for any specific coding questions or concerns. 

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