Work with clinicians to capture the specific type of chest pain. When you begin using ICD-10 codes come the final implementation date, be sure to keep an eye out for chances to use a combination code -- a single code which covers more than one diagnosis. Here's how the ICD-10 CAD codes combine your coding for native coronary atherosclerosis and angina pectoris. ICD-9-CM codes: ICD-10-CM codes: Diagnosis terms:
Coronary atherosclerosis of native coronary artery
Atherosclerotic heart disease of native coronary artery without angina pectoris
Documentation:
Let clinicians know that the presence of angina pectoris will change your native coronary artery disease coding. They should be specific about whether the angina pectoris is unstable, with documented spasm, or another form. Documentation should also reveal whether the patient has chronic hypertension, total coronary occlusion, and/or coronary atherosclerosis caused by lipid rich plaque.Coder tips:
ICD-10 offers a combination code for coronary atherosclerosis with angina pectoris. Take note that I25.10, the "without angina pectoris" code, is appropriate for "Atherosclerotic heart disease NOS." The current ICD-9-CM code for myocardial ischemia with symptoms, 414.8, doesn't have an equivalent in ICD-10-CM, but look to the I25.- codes for patients who have atherosclerosis with chest pain.