ICD-10-CM Code I25.5

Ischemic cardiomyopathy

Version 2020 Billable Code Cardiology

Valid for Submission

I25.5 is a billable code used to specify a medical diagnosis of ischemic cardiomyopathy. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code I25.5 might also be used to specify conditions or terms like at high risk for heart failure, at risk for heart failure, congestive heart failure stage b, congestive heart failure stage b due to ischemic cardiomyopathy, congestive heart failure stage c, congestive heart failure stage c due to ischemic cardiomyopathy, etc

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

ICD-10:I25.5
Short Description:Ischemic cardiomyopathy
Long Description:Ischemic cardiomyopathy

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 I25.5:

Type 2 Excludes

Type 2 Excludes
A 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.

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 I25.5 are found in the index:


Synonyms

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

  • At high risk for heart failure
  • At risk for heart failure
  • Congestive heart failure stage B
  • Congestive heart failure stage B due to ischemic cardiomyopathy
  • Congestive heart failure stage C
  • Congestive heart failure stage C due to Ischemic cardiomyopathy
  • Generalized ischemic myocardial dysfunction
  • High risk of heart failure, stage B
  • Ischemic congestive cardiomyopathy
  • Ischemic congestive cardiomyopathy
  • Ischemic dilated cardiomyopathy due to coronary artery disease
  • Ischemic myocardial dysfunction
  • Ischemic myocardial dysfunction
  • Ischemic myocardial dysfunction
  • Systolic heart failure stage B
  • Systolic heart failure stage B due to ischemic cardiomyopathy
  • Systolic heart failure stage C
  • Systolic heart failure stage C due to ischemic cardiomyopathy

Diagnostic Related Groups

The ICD-10 code I25.5 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 I25.5 to ICD-9

  • 414.8 - Chr ischemic hrt dis NEC (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

Information for Patients


Cardiomyopathy

Cardiomyopathy is the name for diseases of the heart muscle. These diseases enlarge your heart muscle or make it thicker and more rigid than normal. In rare cases, scar tissue replaces the muscle tissue.

Some people live long, healthy lives with cardiomyopathy. Some people don't even realize they have it. In others, however, it can make the heart less able to pump blood through the body. This can cause serious complications, including

  • Heart failure
  • Abnormal heart rhythms
  • Heart valve problems
  • Sudden cardiac arrest

Heart attacks, high blood pressure, infections, and other diseases can all cause cardiomyopathy. Some types of cardiomyopathy run in families. In many people, however, the cause is unknown. Treatment might involve medicines, surgery, other medical procedures, and lifestyle changes.

NIH: National Heart, Lung, and Blood Institute


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