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v1.0.0
ICD-10 Guide
ICD-10 CodesI22.0

I22.0

Billable

Subsequent ST elevation (STEMI) myocardial infarction of anterior wall

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I22.0 is a billable code used to indicate a diagnosis of subsequent st elevation (stemi) myocardial infarction of anterior wall.

Key Diagnostic Point:

I22.0 refers to a subsequent ST elevation myocardial infarction (STEMI) of the anterior wall, which occurs after an initial myocardial infarction. The anterior wall of the heart is primarily supplied by the left anterior descending artery (LAD), and infarction in this area can lead to significant complications, including heart failure and arrhythmias. Clinical presentation typically includes chest pain, shortness of breath, and other symptoms of acute coronary syndrome. The disease progression can be rapid, necessitating immediate medical intervention. Diagnostic considerations include electrocardiogram (ECG) changes, elevated cardiac biomarkers, and imaging studies to assess myocardial damage. It is crucial to differentiate between a subsequent STEMI and other cardiac events, such as unstable angina or non-ST elevation myocardial infarction (NSTEMI), to ensure appropriate management and treatment strategies.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity: Requires precise identification of myocardial infarction type and location.
  • Treatment complexity: Involves advanced interventions such as percutaneous coronary intervention (PCI) or thrombolytics.
  • Documentation requirements: Detailed clinical documentation is essential to support the diagnosis and treatment.
  • Coding specificity: Requires accurate coding to reflect the specific myocardial infarction type and timing.

Audit Risk Factors

  • Common coding errors: Misidentification of the myocardial infarction type.
  • Documentation gaps: Incomplete clinical notes that do not support the diagnosis.
  • Billing challenges: Potential denials due to lack of specificity in coding.

Specialty Focus

Medical Specialties

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I22.0 lies in its association with increased morbidity and mortality rates due to the severity of anterior wall myocardial infarctions. Population health impact includes a higher burden on healthcare systems due to the need for emergency interventions and potential long-term management of heart failure. Quality measures focus on timely treatment and follow-up care, while healthcare utilization patterns indicate a need for improved preventive strategies in at-risk populations.

ICD-9 vs ICD-10

The clinical significance of I22.0 lies in its association with increased morbidity and mortality rates due to the severity of anterior wall myocardial infarctions. Population health impact includes a higher burden on healthcare systems due to the need for emergency interventions and potential long-term management of heart failure. Quality measures focus on timely treatment and follow-up care, while healthcare utilization patterns indicate a need for improved preventive strategies in at-risk populations.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the complexity of the treatment provided. Common denials may arise from insufficient documentation or incorrect coding. It is essential to ensure that all clinical notes reflect the patient's history and current condition accurately, and to use modifiers appropriately when billing for related procedures.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I22.0?

I22.0 covers subsequent ST elevation myocardial infarction of the anterior wall, which can occur after an initial myocardial infarction. It is characterized by ST segment elevation on ECG and elevated cardiac enzymes, indicating ongoing myocardial damage.

When should I22.0 be used instead of related codes?

I22.0 should be used when a patient experiences a subsequent STEMI specifically affecting the anterior wall after a previous myocardial infarction. It is essential to document the timing and location of the infarction to differentiate it from other codes.

What documentation supports I22.0?

Documentation should include clinical notes detailing the patient's symptoms, ECG findings, cardiac biomarker levels, and any imaging studies performed. Clear timelines of previous myocardial infarctions and current events are crucial.