2025 ICD-10-CM code I5A
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiovascular - Other forms of heart disease Diseases of the circulatory system (I00-I99) Feed
Non-ischemic myocardial injury (non-traumatic).
Medical necessity for coding I5A is established through proper clinical documentation demonstrating the presence of non-ischemic myocardial injury.This typically involves elevated cardiac biomarkers (such as troponin) in the absence of evidence of acute coronary syndrome or other ischemic causes.
The clinical responsibility for coding I5A lies with the physician or qualified healthcare professional who diagnoses and manages the patient's condition.This includes documenting the clinical findings that support the diagnosis of non-ischemic myocardial injury.
- Diseases of the circulatory system (I00-I99)
- I5A is under the broader category of "Other forms of heart disease" (I30-I52) within Chapter 9 of ICD-10-CM.
In simple words: This code is for heart muscle damage that isn't caused by blocked blood flow or an injury. It includes cases where the heart muscle is damaged but not because of a heart attack.
This ICD-10-CM code classifies non-ischemic myocardial injury that is not caused by trauma.It encompasses acute, chronic, and unspecified non-ischemic myocardial injury.The underlying cause should be coded first if known (e.g., acute kidney failure, myocarditis, cardiomyopathy).
Example 1: A patient presents with elevated troponin levels but without evidence of coronary artery disease or acute ischemia on electrocardiogram (ECG) or cardiac imaging.Further investigation reveals myocarditis as the underlying cause of the myocardial injury., A patient with a history of cardiomyopathy experiences a sudden increase in troponin levels, indicating myocardial injury.There is no evidence of acute coronary syndrome., A patient undergoing a cardiac procedure experiences a non-ischemic myocardial injury post-procedure. Elevated troponin levels are noted, but coronary angiography is normal.
Complete medical record documentation is crucial, including:
** Accurate coding of I5A is crucial for appropriate reimbursement and clinical research.Understanding the distinction between ischemic and non-ischemic myocardial injury is essential for proper code selection.
- Payment Status: Active
- Specialties:Cardiology, Internal Medicine, Emergency Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Office