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ICD-10 Guide
ICD-10 CodesI25.83

I25.83

Billable

Coronary atherosclerosis due to lipid rich plaque

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

Code Description

ICD-10 I25.83 is a billable code used to indicate a diagnosis of coronary atherosclerosis due to lipid rich plaque.

Key Diagnostic Point:

Coronary atherosclerosis due to lipid-rich plaque is a specific form of coronary artery disease characterized by the accumulation of lipids within the arterial walls, leading to the formation of atherosclerotic plaques. Clinically, patients may present with symptoms such as angina pectoris, shortness of breath, or may be asymptomatic until an acute coronary event occurs. The coronary arteries, which supply blood to the heart muscle, become narrowed or blocked due to these plaques, resulting in reduced blood flow. Disease progression can lead to ischemic heart disease, myocardial infarction, or sudden cardiac death. Diagnostic considerations include imaging studies such as coronary angiography, CT angiography, and non-invasive tests like stress testing. Laboratory tests may also be performed to assess lipid levels and other cardiovascular risk factors. Understanding the anatomy involved, particularly the coronary arteries and their branches, is crucial for effective diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

Coronary atherosclerosis due to lipid-rich plaque significantly impacts population health, contributing to high rates of morbidity and mortality associated with cardiovascular diseases. It is a leading cause of heart attacks and strokes, affecting millions globally. Understanding this condition is crucial for quality measures aimed at reducing cardiovascular events and improving healthcare utilization patterns, as early detection and management can lead to better patient outcomes and lower healthcare costs.

ICD-9 vs ICD-10

Coronary atherosclerosis due to lipid-rich plaque significantly impacts population health, contributing to high rates of morbidity and mortality associated with cardiovascular diseases. It is a leading cause of heart attacks and strokes, affecting millions globally. Understanding this condition is crucial for quality measures aimed at reducing cardiovascular events and improving healthcare utilization patterns, as early detection and management can lead to better patient outcomes and lower healthcare costs.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is supported by clinical evidence and that any related procedures are appropriately coded. Common denials may arise from insufficient documentation or lack of specificity in the diagnosis. Best practices include thorough clinical notes, clear linkage between diagnosis and treatment, and regular audits to ensure compliance with coding guidelines.

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 I25.83?

I25.83 specifically covers coronary atherosclerosis characterized by lipid-rich plaques. This includes conditions where lipid accumulation leads to significant narrowing of coronary arteries, potentially resulting in ischemic heart disease or myocardial infarction.

When should I25.83 be used instead of related codes?

I25.83 should be used when there is clear documentation of coronary atherosclerosis due to lipid-rich plaque, distinguishing it from other forms of atherosclerosis that may not involve lipid-rich components.

What documentation supports I25.83?

Documentation should include imaging results showing lipid-rich plaques, clinical symptoms consistent with coronary artery disease, and any relevant laboratory results indicating lipid levels. Detailed clinical notes that describe the patient's condition and treatment plan are also essential.