Coronary artery dissection
ICD-10 I25.42 is a billable code used to indicate a diagnosis of coronary artery dissection.
Coronary artery dissection is a rare but serious condition characterized by a tear in the coronary artery wall, leading to the separation of the layers of the artery. This dissection can result in reduced blood flow to the heart muscle, potentially causing ischemia or myocardial infarction. Clinically, patients may present with sudden onset chest pain, which can mimic other acute coronary syndromes. The anatomy involved includes the coronary arteries, specifically the left anterior descending artery, right coronary artery, and circumflex artery. Disease progression can vary; some patients may experience spontaneous healing, while others may suffer from recurrent episodes or complications such as heart failure or arrhythmias. Diagnostic considerations include imaging studies such as coronary angiography, CT angiography, or MRI, which can help visualize the dissection and assess its extent. Early diagnosis and intervention are crucial to prevent serious outcomes.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I25.42 specifically covers coronary artery dissection, which may be spontaneous or secondary to trauma, and is distinct from other forms of coronary artery disease such as atherosclerosis.
I25.42 should be used when there is clear evidence of a coronary artery dissection, as opposed to I25.41, which is used for stable angina due to atherosclerosis without dissection.
Documentation should include clinical findings, imaging results confirming the dissection, treatment plans, and any complications that arise from the condition.
