ICD-10: 413.9 Will Divide Into ‘Other’ and ‘Unspecified’ ICD-10 Options
Posted on 12. Jul, 2012 by rpandit in ICD-10
Don’t assume – let the inclusion notes guide your angina code choice.
When ICD-10 replaces ICD-9, you’ll need to know whether cardiac angina falls under “other” or “unspecified” angina pectoris. Here are some tips to keep your coding compliant.
The diagnosis: Angina pectoris refers to chest pain or discomfort caused by coronary heart disease.
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ICD-9-CM codes:
- 413.9, Other and unspecified angina pectoris
ICD-10-CM codes:
- I20.8, Other forms of angina pectoris
- I20.9, Angina pectoris, unspecified
ICD-9 coding rules:Code 413.9, as an “other and unspecified” code, is appropriate for Angina: NOS, cardiac, equivalent, of effort; angina syndrome; status anginosus; stenocardia; and syncope anginosa. You also have an instruction to use additional code(s) for symptoms associated with angina equivalent. And ICD-9 provides an excludes note, telling you to report 411.1 for preinfarction angina.
ICD-10 changes: ICD-10 splits your options, using I20.8 for “other” angina and I20.9 for “unspecified” angina. Code I20.8 will be appropriate for angina equivalent, angina of effort, coronary slow flow syndrome, and stenocardia. With I20.8, you’ll “use additional code(s) for symptoms associated with angina equivalent.”
Code I20.9 will be appropriate for angina NOS, anginal syndrome, cardiac angina, and ischemic chest pain.
Documentation: With ICD-10, documentation of the specific type of angina will be even more important to proper coding. You will need to format...
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