ICD-10 Guide

History Of Myocardial Infarction

ICD-10 Coding for History of Myocardial Infarction(I25.2)

PRIMARY SPECIALTYCardiology

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is History Of Myocardial Infarction?

Essential facts and insights about History of Myocardial Infarction

Key Clinical Considerations:

Chest pain or discomfort
Shortness of breath
Nausea or vomiting
Diaphoresis
Elevated troponin levels
ECG changes (ST elevation or depression)

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history of myocardial infarction
Date of previous infarction
Type of myocardial infarction (STEMI, NSTEMI)
Treatment history (e.g., PCI, CABG)
Current medications and management plan

Coding Guidelines

Usage Guidelines & Examples

Use I25.2 for history of MI without current symptoms.
Common errors include misclassifying acute vs. chronic conditions.

Code Exclusions

Important Exclusions

Acute coronary syndrome not specified as myocardial infarction
Codes for heart failure or other cardiac conditions

Specialty Focus

Primary Specialty

Cardiology

Specialty Applications

Patients with a history of myocardial infarction
Cardiology clinics, hospitals, and outpatient settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed history, type of MI, and treatment.

Billing considerations?

Ensure accurate coding to reflect the patient's history and current status.

History Of Myocardial Infarction

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?

History Of Myocardial Infarction

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?