Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris
ICD-10 I25.702 is a billable code used to indicate a diagnosis of atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris.
I25.702 refers to atherosclerosis of coronary artery bypass graft(s) that is unspecified and associated with refractory angina pectoris. This condition arises when the grafts used to bypass blocked coronary arteries become narrowed or blocked due to atherosclerosis, a process characterized by the buildup of fatty deposits (plaques) in the arterial walls. Patients typically present with symptoms of angina pectoris, which may be stable or unstable, but in this case, it is refractory, meaning it is resistant to standard treatment options. The anatomy involved includes the coronary arteries and the grafts themselves, which may be saphenous veins or arterial conduits. Disease progression can lead to significant ischemia, heart failure, or myocardial infarction if not managed appropriately. Diagnostic considerations include a thorough clinical history, physical examination, and may involve imaging studies such as angiography or non-invasive tests to assess graft patency and myocardial perfusion. Understanding the severity and extent of the atherosclerotic changes is crucial for guiding treatment decisions.
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
I25.702 covers atherosclerosis affecting coronary artery bypass grafts leading to refractory angina pectoris. It is important to document the patient's history of coronary artery disease and previous bypass surgeries to support this diagnosis.
I25.702 should be used when the patient has documented atherosclerosis of bypass grafts specifically causing refractory angina, distinguishing it from other forms of angina or coronary artery disease without graft involvement.
Documentation should include a detailed history of coronary artery disease, previous interventions, current symptoms of angina, and evidence of refractory nature, such as treatment attempts and responses.
