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ICD-10 Guide
ICD-10 CodesI25.710

I25.710

Billable

Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris

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

Code Description

ICD-10 I25.710 is a billable code used to indicate a diagnosis of atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris.

Key Diagnostic Point:

I25.710 refers to atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris. This condition arises when there is a buildup of plaque in the grafts used during coronary artery bypass surgery, leading to narrowed or blocked arteries. Clinically, patients may present with symptoms of unstable angina, characterized by chest pain or discomfort that occurs unpredictably and may worsen over time. The anatomy involved includes the coronary arteries and the grafts, which are typically veins harvested from the patient's leg. Disease progression can lead to significant cardiovascular events, including myocardial infarction, if not managed appropriately. Diagnostic considerations include a thorough patient history, physical examination, and diagnostic imaging such as angiography or stress testing to assess the patency of the grafts and the severity of the atherosclerosis. Unstable angina is a critical condition that requires immediate medical attention and intervention to prevent further complications.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation of cardiovascular health and history of coronary artery disease.
  • Treatment complexity: Involves potential surgical interventions, medication management, and lifestyle modifications.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to differentiate from other forms of angina and atherosclerosis.

Audit Risk Factors

  • Common coding errors: Misclassification of unstable angina or failure to specify the type of graft involved.
  • Documentation gaps: Incomplete clinical notes or lack of evidence supporting unstable angina diagnosis.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect coding.

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

Cardiothoracic 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 I25.710 lies in its association with increased morbidity and mortality due to cardiovascular events. Unstable angina is a critical condition that can lead to myocardial infarction, necessitating timely intervention. Population health impact includes the need for effective management strategies to reduce the incidence of cardiovascular diseases. Quality measures focus on improving patient outcomes through timely diagnosis and treatment, while healthcare utilization patterns reflect the need for ongoing monitoring and management of patients with a history of coronary artery disease.

ICD-9 vs ICD-10

The clinical significance of I25.710 lies in its association with increased morbidity and mortality due to cardiovascular events. Unstable angina is a critical condition that can lead to myocardial infarction, necessitating timely intervention. Population health impact includes the need for effective management strategies to reduce the incidence of cardiovascular diseases. Quality measures focus on improving patient outcomes through timely diagnosis and treatment, while healthcare utilization patterns reflect the need for ongoing monitoring and management of patients with a history of coronary artery disease.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity for treatment is clearly documented. Common denials may arise from insufficient clinical evidence or incorrect coding. It is essential to follow coding best practices, including the use of modifiers when applicable, to ensure accurate billing and reduce the risk of audits.

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 I25.710?

I25.710 specifically covers atherosclerosis affecting autologous vein coronary artery bypass grafts in patients experiencing unstable angina pectoris. This includes patients with a history of coronary artery bypass grafting who present with symptoms of angina that is unpredictable and may occur at rest or with minimal exertion.

When should I25.710 be used instead of related codes?

I25.710 should be used when a patient has a documented history of atherosclerosis affecting their bypass grafts and is experiencing unstable angina. It is important to differentiate this from stable angina or other forms of atherosclerosis that do not involve unstable symptoms.

What documentation supports I25.710?

Documentation for I25.710 should include a detailed patient history, evidence of previous coronary artery bypass grafting, clinical findings of unstable angina, and results from diagnostic tests such as stress tests or angiography that confirm the presence of atherosclerosis in the grafts.