Atherosclerotic heart disease of native coronary artery with refractory angina pectoris
ICD-10 I25.112 is a billable code used to indicate a diagnosis of atherosclerotic heart disease of native coronary artery with refractory angina pectoris.
I25.112 refers to atherosclerotic heart disease of the native coronary artery characterized by refractory angina pectoris. This condition arises from the progressive buildup of atherosclerotic plaques in the coronary arteries, leading to reduced blood flow to the heart muscle. Patients typically present with chest pain or discomfort that occurs at rest or with minimal exertion, indicating severe ischemia. The anatomy involved includes the coronary arteries, primarily the left anterior descending artery, left circumflex artery, and right coronary artery. As the disease progresses, patients may experience increased frequency and severity of angina episodes, which may not respond to standard medical therapies, thus classified as refractory. Diagnostic considerations include a thorough clinical history, physical examination, electrocardiograms, stress testing, and possibly coronary angiography to assess the extent of arterial blockage. Management often involves a combination of lifestyle modifications, pharmacotherapy, and potentially revascularization procedures such as angioplasty or coronary artery bypass grafting (CABG).
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I25.112 specifically covers atherosclerotic heart disease of the native coronary artery with refractory angina pectoris, indicating that the angina is severe and unresponsive to typical medical management.
I25.112 should be used when a patient presents with a confirmed diagnosis of atherosclerotic heart disease accompanied by refractory angina, distinguishing it from other forms of angina that may respond to treatment.
Documentation should include a detailed history of angina episodes, evidence of atherosclerotic changes via imaging studies, and a treatment plan that reflects the refractory nature of the angina.
