2027 ICD-10-CM Diagnosis Code I25.82Chronic total occlusion of coronary artery

ICD-10-CM Codes›I00–I99›I20-I25›I25

ICD-10-CM I25.82
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

I25.82 is a billable ICD-10-CM diagnosis code for chronic total occlusion of coronary artery. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 302 through 303. The code is not accepted as a principal diagnosis by the Medicare Code Editor. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Coronary atherosclerosis and other heart disease.

I25.82 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 188 for payment year 2027.

This medical diagnosis code is frequently used in Cardiology medical specialties to designate conditions such selected atherosclerosis, ischemia, and infarction.

Code Identity

ICD-10-CM Code
I25.82
Billable Status
Yes — Valid for Submission
Code Describes
Chronic total occlusion of coronary artery
Short Description
Chronic total occlusion of coronary artery
Same as the full description in the CMS dataset.
Parent Code
I25.8
Other forms of chronic ischemic heart disease

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI20-I25Ischemic heart diseases
CategoryI25Chronic ischemic heart disease
This CodeI25.82Chronic total occlusion of coronary artery

Code EditsBilling

Medicare Code Editor checks that affect claim validity for I25.82.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Medicare Risk Adjustment (HCC)Billing

I25.82 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
no payment category in the model that pays 100% of MA risk scores
Prior Model (CMS-HCC V24)
Not mapped under V24
this diagnosis newly risk-adjusts under the V28 model
Part D (RxHCC)
RxHCC 188 — Coronary Artery Disease
also risk-adjusts in the Part D prescription drug model (V08)

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Chronic total occlusion of coronary artery

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to I25.82: its own notes plus those printed at I25, block I20-I25, and Chapter 9. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Complete occlusion of coronary artery
  • Total occlusion of coronary artery

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • acute coronary occlusion with myocardial infarction (I21.0-I21.B, I22.-)
  • acute coronary occlusion without myocardial infarction (I24.0)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From I25 Chronic ischemic heart disease applies to 56 codes
  • non-ischemic myocardial injury (I5A)
From Chapter 9 (I00-I99) Diseases of the circulatory system applies to 1,433 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Code First

The underlying condition named in the note is sequenced before this code.

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From I25 Chronic ischemic heart disease applies to 56 codes
  • 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)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block I20-I25 Ischemic heart diseases applies to 94 codes
  • the presence of hypertension (I10-I1A)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name I25.82, its category, or a range that includes it.

Excludes2 2

These codes carry an Excludes2 note naming I25.82: its condition is not part of those codes, and both may be reported when the patient has both.

  • I74 Arterial embolism and thrombosis
    coronary embolism and thrombosis (I21-I25) names I21-I25, which includes this code
  • I82 Other venous embolism and thrombosis
    coronary (I21-I25) names I21-I25, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and I25.82 is one of the codes named.

  • I25 Chronic ischemic heart disease
    chronic total occlusion of coronary artery (I25.82)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR CIR011
Coronary atherosclerosis and other heart disease
Default principal diagnosis: inpatient No · outpatient Yes

Patient EducationClinical

Atherosclerosis

Atherosclerosis is a condition in which plaque builds up inside your arteries. Plaque is a sticky substance made up of cholesterol, fat, blood cells, calcium, and other substances found in the blood. Over time, plaque hardens and causes your arteries to narrow. That limits the flow of oxygen-rich blood to your body.

The full article covers:

  • What is atherosclerosis?
  • What causes atherosclerosis?
  • Who is more likely to develop atherosclerosis?
  • What are the symptoms of atherosclerosis?
  • What other problems can atherosclerosis cause?
  • How is atherosclerosis diagnosed?
  • What are the treatments for atherosclerosis?
  • Can atherosclerosis be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert I25.82 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
414.2 Chr tot occlus cor artry
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About I25.82Overview

What is the ICD-10 code for chronic total occlusion of coronary artery?

The ICD-10-CM code for chronic total occlusion of coronary artery is I25.82 (sometimes written as I2582). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is I25.82 (Other forms of chronic ischemic heart disease) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report chronic total occlusion of coronary artery on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does I25.82 group to?

On inpatient claims, chronic total occlusion of coronary artery maps to MS-DRG 302, 303, with relative weights from 0.6610 to 1.1993 depending on complications. Higher weights mean higher Medicare reimbursement.

Can I25.82 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because chronic total occlusion of coronary artery describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Can I25.82 be reported with a code from I22?

Not as a rule. The Excludes1 note on I25.82 lists "acute coronary occlusion with myocardial infarction (I21.0-I21.B, I22.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

Does I25.82 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage: I25.82 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 188 (Coronary Artery Disease).