ICD-10-CM Code I25.10

Valid for Submission

I25.10 is a billable code used to specify a medical diagnosis of atherosclerotic heart disease of native coronary artery without angina pectoris. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code I25.10 might also be used to specify conditions or terms like atheroma of artery, atherosclerosis of coronary artery without angina pectoris, attends coronary heart disease monitoring, calcific coronary arteriosclerosis, coronary arteriosclerosis, coronary arteriosclerosis after percutaneous coronary angioplasty, etc

The code I25.10 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

The code is commonly used in cardiology medical specialties to specify clinical concepts such as selected atherosclerosis, ischemia, and infarction.

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I25.10:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.

• Atherosclerotic heart disease NOS

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code I25.10 are found in the index:

• - Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification) - I70.90
  • - coronary (artery) - I25.10

• - Atheroma, atheromatous - See Also: Arteriosclerosis; - I70.90
  • - coronary (artery) - I25.10

• - Atherosclerosis - See Also: Arteriosclerosis;
  • - coronary
    • - artery - I25.10

• - Disease, diseased - See Also: Syndrome;
  • - artery - I77.9
    • - coronary - I25.10
  • - cardiovascular (atherosclerotic) - I25.10
  • - heart (organic) - I51.9
    • - ischemic (chronic or with a stated duration of over 4 weeks) - I25.9
      • - atherosclerotic (of) - I25.10

• - Sclerosis, sclerotic
  • - coronary (artery) - I25.10

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

• Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Atheroma of artery
• Atherosclerosis of coronary artery without angina pectoris
• Attends coronary heart disease monitoring
• Calcific coronary arteriosclerosis
• Coronary arteriosclerosis
• Coronary arteriosclerosis after percutaneous coronary angioplasty
• Coronary arteriosclerosis due to radiation
• Coronary arteriosclerosis in native artery
• Coronary arteriosclerosis in patient with history of previous myocardial infarction
• Coronary artery atheroma
• Coronary artery stenosis
• Coronary atherosclerosis
• Coronary heart disease monitoring status
• Coronary ostium stenosis
• Coronary stricture
• Double coronary vessel disease
• Heart disease due to ionizing radiation
• Heart failure with reduced ejection fraction
• Heart failure with reduced ejection fraction due to coronary artery disease
• History of myocardial infarction
• Ischemic congestive cardiomyopathy
• Ischemic dilated cardiomyopathy due to coronary artery disease
• Ischemic myocardial dysfunction
• Left main coronary artery disease
• Lipid-rich atherosclerosis of coronary artery
• Multi vessel coronary artery disease
• Non-obstructive atherosclerosis of coronary artery
• Obliterative coronary artery disease
• Recurrent coronary arteriosclerosis after percutaneous transluminal coronary angioplasty
• Single coronary vessel disease
• Stenotic coronary artery
• Stricture of artery
• Triple vessel disease of the heart

Diagnostic Related Groups

The ICD-10 code I25.10 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2019 through 09/30/2020.

• 302 - ATHEROSCLEROSIS WITH MCC
• 303 - ATHEROSCLEROSIS WITHOUT MCC

Convert I25.10 to ICD-9

• 414.01 - Crnry athrscl natve vssl (Approximate Flag)
• 429.2 - Ascvd (Approximate Flag)

Code Classification

• Diseases of the circulatory system (I00–I99)
  • Ischemic heart diseases (I20-I25)
    • Chronic ischemic heart disease (I25)

Code History

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
  (First year ICD-10-CM implemented into the HIPAA code set)
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Tools

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• Convert I25.10 to ICD-9