Please note this question was answered in 2021. The coding advice may or may not be outdated.
i2510 vs i25110 with CAD
Date: May 10, 2021
Question:
Physician documents, under "Brief Clinical History: ...Due to concerns for accelerating angina, he is referred for invasive coronary angiography." Under Impression she states, "1) Severe vessel native CAD; unable to perform PTCA/PCI due to severe vessel tortuosity and stent under expansion in the proximal RCA. 2) Severe distal RCA stenosis." Can I code I25110 even though she didn't mention the angina in the Impression?
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