Old myocardial infarction
ICD-10 I25.2 is a billable code used to indicate a diagnosis of old myocardial infarction.
Old myocardial infarction (MI) refers to a previous heart attack that has occurred at some point in the patient's medical history. Clinically, patients may present with a history of chest pain, dyspnea, or fatigue, often without acute symptoms. The anatomy involved includes the coronary arteries, which supply blood to the heart muscle; damage from the infarction can lead to scarring and reduced blood flow. Disease progression may involve the development of ischemic heart disease, heart failure, or arrhythmias due to the compromised heart muscle. Diagnostic considerations include a thorough patient history, physical examination, and imaging studies such as echocardiograms or stress tests, alongside biomarkers like troponins to assess for ongoing cardiac damage. It is crucial to differentiate old MI from acute coronary syndromes, as management strategies differ significantly.
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
I25.2 covers patients with a documented history of myocardial infarction, which may include prior ST-elevation or non-ST-elevation myocardial infarctions, as well as silent MIs that may not have presented with acute symptoms.
I25.2 should be used when there is a confirmed history of myocardial infarction without current acute symptoms, differentiating it from codes for acute myocardial infarction or unstable angina.
Documentation should include a clear history of myocardial infarction, results from diagnostic tests confirming past events, and any ongoing treatment or management plans related to the condition.
