CGS Health Information Technology Programs: Call 704-254-7900: How Should CAD be Coded?

Coding Clinic (1997, Q2)

Question: A patient has coronary artery disease. There is no mention of a past history of CABG. Should this be coded 414.00 Coronary atherosclerosis of unspecified type of vessel, native or graft, or 414.01 Coronary atherosclerosis of native coronary artery?

Answer: Assign code 414.01, coronary atherosclerosis of native coronary artery. Since there is no history of CABG, this is a native coronary vessel. However, if the documentation is unclear concerning prior bypass surgery, query the physician.

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CGS Health Information Technology Programs: Call 704-254-7900

How Should CAD be Coded?

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