AHA Coding Clinic® for ICD-9 - 2008 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES

Coronary Atherosclerosis due to Lipid Rich Plaque

Effective October 1, 2008, code 414.3, Coronary atherosclerosis due to lipid rich plaque, has been created for identification of lipid rich plaque. The accumulation of lipids within coronary plaques is an important process in the progression of atherosclerosis and plaque vulnerability. Diagnostic information on the presence of lipid-rich plaque will help cardiologists determine the most appropriate type of stent (drug eluting versus bare metal) treatment and provide useful information in early detection and the subsequent risk of future coronary events. There is an instructional note to indicate that coronary atherosclerosis (414.00-414.07) is coded first and 414...

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