ICD-10-CM Code I25.119

Valid for Submission

I25.119 is a billable code used to specify a medical diagnosis of atherosclerotic heart disease of native coronary artery with unspecified angina pectoris. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code I25.119 might also be used to specify conditions or terms like angina co-occurrent and due to coronary arteriosclerosis.

The code I25.119 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 I25.119:

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 with angina NOS
• Atherosclerotic heart disease with ischemic chest pain

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

• unspecified angina pectoris without atherosclerotic heart disease I20.9

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 I25.119 are found in the index:

• - Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification) - I70.90
  • - coronary (artery) - I25.10
    • - native vessel
      • - with
        • - angina pectoris - I25.119
        • - ischemic chest pain - I25.119

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:

• Angina co-occurrent and due to coronary arteriosclerosis

Diagnostic Related Groups

The ICD-10 code I25.119 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 I25.119 to ICD-9

• 414.01 - Crnry athrscl natve vssl (Combination Flag)
• 413.9 - Angina pectoris NEC/NOS (Combination 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 I25.119 to ICD-9