ICD Code I25.84

ICD code I25.84 is used to identify coronary atherosclerosis that is specifically caused by calcified coronary lesions. This condition involves the hardening and narrowing of the coronary arteries due to the buildup of calcified plaque, which can restrict blood flow to the heart muscle and potentially lead to serious cardiovascular complications.

1. Presence of Coronary Atherosclerosis: The patient must have a confirmed diagnosis of coronary atherosclerosis, which involves the buildup of plaque within the coronary arteries.

2. Calcified Coronary Lesion: Diagnostic imaging or other medical evaluations must reveal calcification within the coronary lesions. This calcification is a key differentiator and must be explicitly noted in the patient's medical records.

3. Symptoms of Coronary Artery Disease (CAD): The patient may exhibit symptoms commonly associated with coronary artery disease, such as chest pain (angina), shortness of breath, or fatigue, especially during physical exertion.

4. Risk Factors: Consideration of the patient's risk factors for coronary artery disease, such as a history of high cholesterol, hypertension, smoking, diabetes, or a family history of heart disease, which may support the diagnosis.

5. Diagnostic Testing: Utilization of diagnostic tests such as coronary angiography, CT scans, or other imaging modalities that can confirm the presence of calcified lesions in the coronary arteries.

6. Exclusion of Other Conditions: Ensure that other potential causes of the patient's symptoms, such as non-calcified coronary lesions or other cardiac conditions, have been ruled out through appropriate diagnostic evaluations.

7. Clinical Judgment: The healthcare provider's clinical judgment, based on a comprehensive assessment of the patient's medical history, symptoms, and diagnostic findings, should support the use of this specific ICD code.

For the ICD code I25.84, which pertains to coronary atherosclerosis due to calcified coronary lesion, the relevant CPT codes that may be applicable for treatment include:

1. 92920 - Percutaneous transluminal coronary angioplasty (PTCA); single major coronary artery or branch.

2. 92928 - Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch.

3. 92933 - Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch.

4. 93454 - Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injections for coronary angiography, imaging supervision and interpretation.

5. 93571 - Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; initial vessel.

6. 93572 - Each additional vessel (List separately in addition to code for primary procedure).

These CPT codes are often utilized in the treatment and management of conditions associated with coronary atherosclerosis due to calcified coronary lesions. It is important for healthcare providers to select the appropriate CPT code based on the specific procedures performed.

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