2022 ICD-10-CM Code I25
Chronic ischemic heart disease
Not Valid for Submission
| ICD-10: | I25 |
| Short Description: | Chronic ischemic heart disease |
| Long Description: | Chronic ischemic heart disease |
Code Classification
I25 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of chronic ischemic heart disease. The code is not specific and is NOT valid for the year 2022 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.
Specific Coding for Chronic ischemic heart disease
Non-specific codes like I25 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for chronic ischemic heart disease:
- NON-BILLABLE CODE - I25.1 for Atherosclerotic heart disease of native coronary artery
- BILLABLE CODE - Use I25.10 for Atherosclerotic heart disease of native coronary artery without angina pectoris
- NON-BILLABLE CODE - I25.11 for Atherosclerotic heart disease of native coronary artery with angina pectoris
- BILLABLE CODE - Use I25.2 for Old myocardial infarction
- BILLABLE CODE - Use I25.3 for Aneurysm of heart
- NON-BILLABLE CODE - I25.4 for Coronary artery aneurysm and dissection
- BILLABLE CODE - Use I25.41 for Coronary artery aneurysm
- BILLABLE CODE - Use I25.42 for Coronary artery dissection
- BILLABLE CODE - Use I25.5 for Ischemic cardiomyopathy
- BILLABLE CODE - Use I25.6 for Silent myocardial ischemia
- NON-BILLABLE CODE - I25.7 for Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris
- NON-BILLABLE CODE - I25.70 for Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris
- NON-BILLABLE CODE - I25.71 for Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris
- NON-BILLABLE CODE - I25.72 for Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris
- NON-BILLABLE CODE - I25.73 for Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris
- NON-BILLABLE CODE - I25.75 for Atherosclerosis of native coronary artery of transplanted heart with angina pectoris
- NON-BILLABLE CODE - I25.76 for Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris
- NON-BILLABLE CODE - I25.79 for Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris
- NON-BILLABLE CODE - I25.8 for Other forms of chronic ischemic heart disease
- NON-BILLABLE CODE - I25.81 for Atherosclerosis of other coronary vessels without angina pectoris
- BILLABLE CODE - Use I25.82 for Chronic total occlusion of coronary artery
- BILLABLE CODE - Use I25.83 for Coronary atherosclerosis due to lipid rich plaque
- BILLABLE CODE - Use I25.84 for Coronary atherosclerosis due to calcified coronary lesion
- BILLABLE CODE - Use I25.89 for Other forms of chronic ischemic heart disease
- BILLABLE CODE - Use I25.9 for Chronic ischemic heart disease, unspecified
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I25:
Use Additional Code
Use Additional CodeThe “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 to identify:
- chronic total occlusion of coronary artery I25.82
- exposure to environmental tobacco smoke Z77.22
- history of tobacco dependence Z87.891
- occupational exposure to environmental tobacco smoke Z57.31
- tobacco dependence F17
- tobacco use Z72.0
Type 2 Excludes
Type 2 ExcludesA type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- non-ischemic myocardial injury I5A
Information for Patients
Atherosclerosis
Atherosclerosis is a disease in which plaque builds up inside your arteries. Plaque is a sticky substance made up of fat, cholesterol, calcium, and other substances found in the blood. Over time, plaque hardens and narrows your arteries. That limits the flow of oxygen-rich blood to your body.
Atherosclerosis can lead to serious problems, including
- Coronary artery disease. These arteries supply blood to your heart. When they are blocked, you can suffer angina or a heart attack.
- Carotid artery disease. These arteries supply blood to your brain. When they are blocked you can suffer a stroke.
- Peripheral arterial disease. These arteries are in your arms, legs and pelvis. When they are blocked, you can suffer from numbness, pain and sometimes infections.
Atherosclerosis usually doesn't cause symptoms until it severely narrows or totally blocks an artery. Many people don't know they have it until they have a medical emergency.
A physical exam, imaging, and other diagnostic tests can tell if you have it. Medicines can slow the progress of plaque buildup. Your doctor may also recommend procedures such as angioplasty to open the arteries, or surgery on the coronary or carotid arteries. Lifestyle changes can also help. These include following a healthy diet, getting regular exercise, maintaining a healthy weight, quitting smoking, and managing stress.
NIH: National Heart, Lung, and Blood Institute
[Learn More in MedlinePlus]
Coronary Artery Disease
Coronary artery disease (CAD) is the most common type of heart disease. It is the leading cause of death in the United States in both men and women.
CAD happens when the arteries that supply blood to heart muscle become hardened and narrowed. This is due to the buildup of cholesterol and other material, called plaque, on their inner walls. This buildup is called atherosclerosis. As it grows, less blood can flow through the arteries. As a result, the heart muscle can't get the blood or oxygen it needs. This can lead to chest pain (angina) or a heart attack. Most heart attacks happen when a blood clot suddenly cuts off the hearts' blood supply, causing permanent heart damage.
Over time, CAD can also weaken the heart muscle and contribute to heart failure and arrhythmias. Heart failure means the heart can't pump blood well to the rest of the body. Arrhythmias are changes in the normal beating rhythm of the heart.
NIH: National Heart, Lung, and Blood Institute
[Learn More in MedlinePlus]
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)