2024 ICD-10-CM Diagnosis Code I20.8

Other forms of angina pectoris

ICD-10-CM Code:
I20.8
ICD-10 Code for:
Other forms of angina pectoris
Is Billable?
Not Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Diseases of the circulatory system
    (I00–I99)
    • Ischemic heart diseases
      (I20-I25)
      • Angina pectoris
        (I20)

I20.8 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other forms of angina pectoris. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

The code is commonly used in cardiology medical specialties to specify clinical concepts such as chest pain.

Specific Coding Applicable to Other forms of angina pectoris

Non-specific codes like I20.8 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for other forms of angina pectoris:

  • Use I20.81 for Angina pectoris with coronary microvascular dysfunction - BILLABLE CODE

  • Use I20.89 for Other forms of angina pectoris - BILLABLE CODE

Clinical Classification

Clinical Information

  • Angina Pectoris

    the symptom of paroxysmal pain consequent to myocardial ischemia usually of distinctive character, location and radiation. it is thought to be provoked by a transient stressful situation during which the oxygen requirements of the myocardium exceed that supplied by the coronary circulation.
  • Angina Pectoris, Variant

    a clinical syndrome characterized by the development of chest pain at rest with concomitant transient st segment elevation in the electrocardiogram, but with preserved exercise capacity.
  • Angina, Stable

    persistent and reproducible chest discomfort usually precipitated by a physical exertion that dissipates upon cessation of such an activity. the symptoms are manifestations of myocardial ischemia.
  • Angina, Unstable

    precordial pain at rest, which may precede a myocardial infarction.
  • Microvascular Angina

    angina pectoris or angina-like chest pain with a normal coronary arteriogram and positive exercise test. the cause of the syndrome is unknown. while its recognition is of clinical importance, its prognosis is excellent. (braunwald, heart disease, 4th ed, p1346; jablonski dictionary of syndromes & eponymic diseases, 2d ed). it is different from metabolic syndrome x, a syndrome characterized by insulin resistance and hyperinsulinemia, that has increased risk for cardiovascular disease.
  • Myocardial Ischemia

    a disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. the decreased blood flow may be due to narrowing of the coronary arteries (coronary artery disease), to obstruction by a thrombus (coronary thrombosis), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (myocardial infarction).
  • Myocardial Infarction

    necrosis of the myocardium caused by an obstruction of the blood supply to the heart (coronary circulation).

New 2024 ICD-10-CM Code

I20.8 is new to ICD-10-CM code set for the FY 2024, effective October 1, 2023. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2023. This is a new and revised code for the FY 2024 (October 1, 2023 - September 30, 2024).

Replaced Code

This code was replaced in the 2024 ICD-10-CM code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2023. This code was replaced for the FY 2024 (October 1, 2023 - September 30, 2024).


  • I20.81 - Angina pectoris with coronary microvascular dysfunction
  • I20.89 - Other forms of angina pectoris

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code(s) for symptoms associated with angina equivalent

Convert I20.8 to ICD-9-CM

  • ICD-9-CM Code: 413.9 - Angina pectoris NEC/NOS
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Angina

Angina is chest pain or discomfort you feel when there is not enough blood flow to your heart muscle. 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.

Angina is a symptom of coronary artery disease (CAD), the most common heart disease. CAD happens when a sticky substance called plaque builds up in the arteries that supply blood to the heart, reducing blood flow.

There are three types of angina:

  • Stable angina is the most common type. It happens when the heart is working harder than usual. Stable angina has a regular pattern. Rest and medicines usually help.
  • 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.

Not all chest pain or discomfort is angina. If you have chest pain, you should see your health care provider.

NIH: National Heart, Lung, and Blood Institute


[Learn More in MedlinePlus]

Code History

  • FY 2024 - Code Added, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.