2025 ICD-10-CM code I24.8
(Active) Effective Date: N/A Revision Date: N/A Ischemic heart diseases - Other acute ischemic heart diseases Diseases of the circulatory system (I00-I99) Feed
Other forms of acute ischemic heart disease. This code excludes myocardial infarction due to demand ischemia (I21.A1).
Medical necessity for the use of this code relies on the physician's determination that the patient's condition meets the criteria for other forms of acute ischemic heart disease, based on clinical findings and diagnostic test results. The documentation should clearly support the diagnosis and justify the medical services provided.
In simple words: This code represents other forms of acute ischemic heart disease, which refers to conditions where the heart muscle doesn't get enough blood flow due to narrowed or blocked coronary arteries. It is distinct from conditions like a heart attack caused by increased oxygen demand.
Other forms of acute ischemic heart disease
Example 1: A patient presents with chest pain and other symptoms suggestive of a heart problem. After diagnostic tests, the physician determines the patient has acute coronary syndrome, but it's not a typical heart attack or angina. The physician diagnoses the patient with other forms of acute ischemic heart disease., A patient with a history of coronary artery disease experiences a sudden onset of chest discomfort and shortness of breath. Diagnostic tests reveal no evidence of a heart attack, but the patient's symptoms and test findings point to a reduced blood supply to the heart muscle. The physician diagnoses the patient with Prinzmetal's angina (variant angina)., A patient experiences chest pain and shortness of breath during exercise. Diagnostic tests show no evidence of blockage in the coronary arteries, but there are signs of small vessel disease affecting the heart's blood supply. The physician diagnoses the patient with acute coronary microvascular dysfunction, a form of acute ischemic heart disease affecting the small blood vessels of the heart.
Documentation should include details of the patient's symptoms (e.g., chest pain, shortness of breath), the results of relevant diagnostic tests (e.g., ECG, cardiac enzymes, coronary angiography), and the physician's clinical assessment leading to the diagnosis of other forms of acute ischemic heart disease. Specific documentation of the condition being diagnosed (e.g., Prinzmetal angina, coronary microvascular dysfunction) is important for accurate coding.
** For accurate coding, it's essential to have comprehensive documentation supporting the specific type of acute ischemic heart disease being diagnosed. If the documentation is unclear or incomplete, it's advisable to query the physician for clarification to ensure accurate code assignment.
- Specialties:Cardiology
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office