Cardiology Coding Alert

Answer: For the test, you should report only the interpretation. For rest and stress images, you should report 78452-26 (Myocardial perfusion imaging, tomographic [SPECT] [including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed]; multiple studies, at rest and/or stress [exercise or pharmacologic] and/or redistribution and/or rest reinjection; Professional component).

For the diagnosis, you should report 414.01 (Coronary atherosclerosis of native coronary artery).

After ICD-10 implementation, choosing the most specific code for this case will depend on information on the presence and nature of angina that occurs with the coronary atherosclerosis. For instance, you may use I25.110 (Atherosclerotic heart disease of native coronary artery with unstable angina pectoris).

If you don’t have the details, you’ll use I25.10 (Atherosclerotic heart disease of native coronary artery without angina pectoris), which applies to “Atherosclerotic heart disease NOS.”