Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris
ICD-10 I25.712 is a billable code used to indicate a diagnosis of atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris.
I25.712 refers to atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris. This condition arises when atherosclerosis, characterized by the buildup of plaque in the arteries, affects the grafts used in coronary artery bypass surgery. Patients typically present with refractory angina pectoris, which is chest pain that persists despite treatment, indicating inadequate blood flow to the heart muscle. The anatomy involved includes the coronary arteries and the grafts, which are often segments of the patient's own veins, such as the saphenous vein. Disease progression can lead to worsening angina, heart failure, or myocardial infarction if not managed appropriately. Diagnostic considerations include a thorough clinical evaluation, imaging studies like angiography, and functional assessments such as stress tests to determine the severity of ischemia. The presence of refractory angina suggests a significant compromise in coronary perfusion, necessitating careful monitoring and potential intervention.
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
I25.712 specifically covers cases of atherosclerosis affecting autologous vein grafts used in coronary artery bypass surgery, where patients experience refractory angina pectoris, indicating severe ischemic heart disease.
I25.712 should be used when the patient has a documented history of coronary artery bypass grafting with subsequent atherosclerosis affecting the grafts and is experiencing refractory angina, distinguishing it from other forms of angina or atherosclerosis.
Documentation should include a detailed history of the patient's coronary artery disease, specifics of the bypass grafts used, evidence of refractory angina through clinical notes, and results from diagnostic tests confirming graft involvement.
