ICD-10-CM Diagnosis Code I20.9 [convert to ICD-9-CM] Angina pectoris, unspecified. Angina; Angina pectoris; Angina pectoris (chest pain); Cardiac syndrome x; History of myocardial infarction with stable angina; Stable angina; Stable angina with history of attack; Angina NOS; Anginal syndrome; Cardiac angina; Ischemic chest pain. ICD-10-CM Diagnosis Code I20.9.
2013 ICD-9-CM Diagnosis Codes 413.* : Angina pectoris A disorder characterized by substernal discomfort due to insufficient myocardial oxygenation. A heart condition marked by paroxysms of chest pain due to reduced oxygen to the heart. Angina is chest pain or discomfort you get when your heart muscle does not get enough blood.
Short description: Angina pectoris NEC/NOS. ICD-9-CM 413.9 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 413.9 should only be used for claims with a date of service on or before September 30, 2015.
ICD-9 Code 413.9 Other and unspecified angina pectoris. ICD-9 Index; Chapter: 390–459; Section: 410-414; Block: 413 Angina pectoris; 413.9 - Angina pectoris NEC/NOS
413.9 is a legacy non-billable code used to specify a medical diagnosis of other and unspecified angina pectoris. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
There are three types of angina: Stable angina is the most common type.
Your heart muscle needs the oxygen that the blood carries. Angina may feel like pressure or a squeezing pain in your chest. It may feel like indigestion. You may also feel pain in your shoulders, arms, neck, jaw, or back.
NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
Unstable angina is the most dangerous. It does not follow a pattern and can happen without physical exertion. It does not go away with rest or medicine. It is a sign that you could have a heart attack soon.
Variant angina is rare. It happens when you are resting. Medicines can help.
Clinical Information. A disorder characterized by substernal discomfort due to insufficient myocardial oxygenation. A heart condition marked by paroxysms of chest pain due to reduced oxygen to the heart. Angina is chest pain or discomfort you get when your heart muscle does not get enough blood.
The 2022 edition of ICD-10-CM I20.9 became effective on October 1, 2021.
I20.9 angina pectoris, unspecified: This code is assigned when the documentation states angina, ischemic chest pain, or anginal syndrome.
I20.0 Unstable Angina: Unexpected chest pain, often occurring at rest, sleeping, or accompanying minimal exertion. Rest or medication often does not provide relief. It often worsens and may lead to a myocardial infarction. Treatment often includes a cardiac catheter to diagnose the issue and provide intervention. It may be referred to as acute coronary syndrome (ACS) by providers.
Stable angina, also is known as typical angina or angina pectoris, is a symptom of myocardial ischemia. Stable angina is characterized by chest discomfort or anginal equivalent that is provoked with exertion and alleviated at rest or with nitroglycerin. This is often one of the first manifestations or warning signs of underlying coronary disease. Angina affects 10 million people in the United States (US); given this, it is important to not only recognize the signs and symptoms but also appropriately risk stratify and manage these individuals.[1]
As previously mentioned, typical angina usually presents as chest discomfort or anginal equivalent that is provoked with exertion and alleviated at rest or with nitroglycerin. Anginal equivalents vary, however, commonly can be described as shortness of breath, nausea, or fatigue that is out of proportion to the activity level.
Simply put, the manifestation of angina is the result of an imbalance between the myocardial oxygen supply and the myocardial oxygen demand. It is important to understand the factors that contribute to each of these measures.
The most important complication of stable angina is the possibility of progression to acute coronary syndrome. Risk factor modification and medical optimization should be utilized to decrease risk. These individuals require routine monitoring and attentive primary care providers.
There may be radiation of the pain, depending on which dermatomes are affected. [10][11] Symptoms will be described as more severe with states of increased demand (i.e., walking, lifting, emotional stress, etc.) Symptoms generally last for two to five minutes, and relief is experienced when the provoking activity is stopped, or the patient takes nitroglycerin. [9]
It is important to conduct a thorough workup and evaluation to determine the cause of angina in each individual, understanding the etiology will allow for medical optimization and appropriate management of risk factors.
Angina affects 10 million people in the United States. Providers must be able to differentiate between stable angina and other causes of chest pain to care for their patients appropriately. The recognition and appropriate management of stable angina is critical in reducing the risks of future myocardial infarction. This activity highlights the diagnosis, evaluation, and management of stable angina by an interprofessional team.
Unstable angina (I20.0 Unstable angina) results in severe symptoms that do not occur on a regular basis or predictable manner. Pain is more frequent, lasts longer, and is not relieved by nitroglycerin.
Documentation should also specify whether the patient smokes, has been exposed to smoke, or has a history of smoking .#N#There is an instructional note under category I20 that states to use and additional code to identify exposure to environmental tobacco smoke, history of tobacco use, occupational exposure to environmental tobacco smoke, tobacco dependence, or tobacco use.
There is an instructional note under category I20 that states to use and additional code to identify exposure to environmental tobacco smoke, history of tobacco use, occupational exposure to environmental tobacco smoke, tobacco dependence, or tobacco use. Author. Recent Posts.
It typically lasts between one and 15 minutes, and may be relieved with rest or nitroglycerin, which relax the blood vessels and lower blood pressure.
It can narrow, decrease, or completely prevent blood flow to that part of the heart muscle. The spasms lead to angina, and may lead to myocardial infarction. Other forms of angina pectoris include: Angina equivalent – A group of symptoms heralding angina pectoris that does not include chest pain (for example, dyspnea, diaphoresis, ...