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ICD-10 Guide
ICD-10 CodesI24.9

I24.9

Billable

Acute ischemic heart disease, unspecified

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

Code Description

ICD-10 I24.9 is a billable code used to indicate a diagnosis of acute ischemic heart disease, unspecified.

Key Diagnostic Point:

Acute ischemic heart disease (I24.9) refers to a spectrum of conditions characterized by a sudden reduction in blood flow to the heart muscle, leading to ischemia. This condition can manifest as angina pectoris or myocardial infarction, although the specific type may not be clearly defined in this code. The heart's anatomy involved includes the coronary arteries, which supply blood to the myocardium. Risk factors for acute ischemic heart disease include hypertension, hyperlipidemia, diabetes, smoking, and a sedentary lifestyle. Disease progression can lead to significant complications such as heart failure, arrhythmias, or sudden cardiac death if not managed promptly. Diagnostic considerations include patient history, physical examination, electrocardiograms (ECGs), and cardiac biomarkers. Given the potential for rapid deterioration, timely diagnosis and intervention are critical in managing patients with this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough assessment to rule out other cardiac conditions.
  • Treatment complexity: Management may involve medications, lifestyle changes, or surgical interventions.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis.
  • Coding specificity: Limited specificity may lead to challenges in accurately capturing the patient's condition.

Audit Risk Factors

  • Common coding errors: Misclassification of acute ischemic events.
  • Documentation gaps: Incomplete patient history or lack of supporting evidence.
  • Billing challenges: Potential for denials due to insufficient documentation or unclear diagnosis.

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

Internal 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

Acute ischemic heart disease significantly impacts population health, contributing to high morbidity and mortality rates. It is a leading cause of hospital admissions and healthcare utilization, often resulting in extensive resource use for management and treatment. Quality measures focus on timely diagnosis and intervention, which are crucial for improving patient outcomes and reducing the burden of cardiovascular diseases in the population.

ICD-9 vs ICD-10

Acute ischemic heart disease significantly impacts population health, contributing to high morbidity and mortality rates. It is a leading cause of hospital admissions and healthcare utilization, often resulting in extensive resource use for management and treatment. Quality measures focus on timely diagnosis and intervention, which are crucial for improving patient outcomes and reducing the burden of cardiovascular diseases in the population.

Reimbursement & Billing Impact

Reimbursement may vary based on the severity of the condition and the treatment provided. Common denials can occur if documentation does not clearly support the diagnosis or if the treatment plan is not adequately detailed. Best practices include ensuring that all clinical notes are thorough and that any diagnostic codes used are supported by the medical record to avoid billing challenges.

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 I24.9?

I24.9 encompasses acute ischemic heart disease without further specification, which may include unstable angina and acute myocardial ischemia that does not meet the criteria for myocardial infarction.

When should I24.9 be used instead of related codes?

I24.9 should be used when the specific type of acute ischemic heart disease is not clearly defined or documented, and when other specific codes (like I21) are not applicable.

What documentation supports I24.9?

Documentation should include a clear clinical assessment, patient symptoms, diagnostic test results (like ECG or troponin levels), and any treatment provided to support the diagnosis of acute ischemic heart disease.