Chronic total occlusion of coronary artery
ICD-10 I25.82 is a billable code used to indicate a diagnosis of chronic total occlusion of coronary artery.
Chronic total occlusion (CTO) of a coronary artery is a condition characterized by a complete blockage of a coronary artery for at least three months. This occlusion can lead to significant ischemia, as the affected area of the heart muscle does not receive adequate blood supply. Clinically, patients may present with stable angina, exertional dyspnea, or may be asymptomatic. The anatomy involved typically includes the major coronary arteries such as the left anterior descending artery, right coronary artery, or circumflex artery. Disease progression can vary; some patients may develop collateral circulation, which can partially compensate for the loss of blood flow, while others may experience worsening symptoms or acute coronary syndromes. Diagnostic considerations include coronary angiography, which is the gold standard for visualizing the occlusion, along with non-invasive tests such as stress testing or cardiac imaging. Understanding the extent and location of the occlusion is crucial for determining appropriate management strategies, which may include medical therapy, percutaneous coronary intervention (PCI), or coronary artery bypass grafting (CABG).
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
I25.82 specifically covers chronic total occlusion of coronary arteries, which may arise from atherosclerosis, thrombosis, or other vascular diseases leading to complete blockage. It does not cover partial occlusions or acute coronary syndromes.
I25.82 should be used when there is a confirmed diagnosis of chronic total occlusion, as evidenced by imaging studies. It should not be used for patients with stable angina due to non-occlusive disease or those with acute coronary syndromes.
Documentation must include clinical evidence of chronic symptoms, results from coronary angiography confirming total occlusion, and any relevant imaging studies. Detailed notes on treatment plans and patient history are also necessary.
