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ICD-10 Guide
ICD-10 CodesI25.3

I25.3

Billable

Aneurysm of heart

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I25.3 is a billable code used to indicate a diagnosis of aneurysm of heart.

Key Diagnostic Point:

I25.3 refers to an aneurysm of the heart, specifically involving the myocardium or the heart's walls. This condition can arise from various underlying cardiovascular diseases, including atherosclerosis, hypertension, or prior myocardial infarction. Clinically, patients may present with symptoms such as chest pain, palpitations, or signs of heart failure, depending on the size and location of the aneurysm. The anatomy involved typically includes the left ventricle, but aneurysms can also affect other chambers. Disease progression can lead to complications such as rupture, thrombus formation, or arrhythmias, significantly increasing morbidity and mortality. Diagnostic considerations include echocardiography, MRI, or CT scans to visualize the aneurysm and assess its impact on cardiac function. Early detection and management are crucial to prevent severe outcomes, making accurate coding essential for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

Specialty Focus

Medical Specialties

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Cardiac Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I25.3 lies in its potential to lead to severe complications, impacting patient outcomes and healthcare utilization. The prevalence of heart aneurysms contributes to the overall burden of cardiovascular diseases, necessitating effective management strategies. Quality measures related to timely diagnosis and treatment of cardiac aneurysms are essential for improving population health and reducing healthcare costs.

ICD-9 vs ICD-10

The clinical significance of I25.3 lies in its potential to lead to severe complications, impacting patient outcomes and healthcare utilization. The prevalence of heart aneurysms contributes to the overall burden of cardiovascular diseases, necessitating effective management strategies. Quality measures related to timely diagnosis and treatment of cardiac aneurysms are essential for improving population health and reducing healthcare costs.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the severity of the aneurysm and associated treatments. Common denials can occur if documentation is insufficient or if the diagnosis is not clearly linked to the services provided. Best practices include ensuring that all clinical notes are detailed and that coding aligns with the documentation to minimize audit risks.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I25.3?

I25.3 covers cardiac aneurysms that may result from ischemic heart disease, including post-myocardial infarction aneurysms. It does not include aneurysms of the aorta or peripheral arteries.

When should I25.3 be used instead of related codes?

I25.3 should be used when the diagnosis specifically indicates an aneurysm of the heart muscle, differentiating it from other ischemic heart diseases or conditions affecting the coronary arteries.

What documentation supports I25.3?

Documentation should include imaging studies confirming the presence of an aneurysm, clinical notes detailing symptoms, and any relevant history of myocardial infarction or other cardiovascular conditions.