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ICD-10 Guide
ICD-10 CodesI25.72

I25.72

Non-billable

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

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

Code Description

ICD-10 I25.72 is a used to indicate a diagnosis of atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris.

Key Diagnostic Point:

I25.72 refers to atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris. This condition arises when there is a buildup of plaque in the grafted arteries used during coronary artery bypass grafting (CABG), leading to reduced blood flow to the heart muscle. Patients may present with symptoms of angina pectoris, which is characterized by chest pain or discomfort due to myocardial ischemia. The anatomy involved includes the coronary arteries that have been bypassed using the patient's own arteries or veins, which can become narrowed or blocked over time due to atherosclerosis. Disease progression can lead to worsening angina, heart failure, or even myocardial infarction if not managed appropriately. Diagnostic considerations include a thorough patient history, physical examination, and imaging studies such as angiography or stress testing to assess graft patency and coronary artery status. Understanding the patient's history of coronary artery disease and previous interventions is crucial for accurate diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of cardiovascular pathology and prior surgical history.
  • Treatment complexity: Management may involve medications, lifestyle changes, or further surgical interventions.
  • 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 coronary artery disease.

Audit Risk Factors

  • Common coding errors: Misidentifying the type of coronary artery disease or failing to document prior CABG.
  • Documentation gaps: Incomplete records regarding the patient's surgical history or current symptoms.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis of angina related to graft atherosclerosis.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I25.72 lies in its association with increased morbidity and potential mortality due to compromised coronary circulation. Understanding this condition is crucial for improving patient outcomes and managing healthcare resources effectively. Population health impact includes the need for ongoing monitoring and management of patients with a history of CABG, as they are at higher risk for recurrent cardiovascular events. Quality measures may focus on the timely diagnosis and treatment of angina in these patients, influencing healthcare utilization patterns and overall cardiovascular health.

ICD-9 vs ICD-10

The clinical significance of I25.72 lies in its association with increased morbidity and potential mortality due to compromised coronary circulation. Understanding this condition is crucial for improving patient outcomes and managing healthcare resources effectively. Population health impact includes the need for ongoing monitoring and management of patients with a history of CABG, as they are at higher risk for recurrent cardiovascular events. Quality measures may focus on the timely diagnosis and treatment of angina in these patients, influencing healthcare utilization patterns and overall cardiovascular health.

Reimbursement & Billing Impact

reimbursement.

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 I25.72?

I25.72 covers atherosclerosis affecting autologous artery grafts used in CABG procedures, specifically when accompanied by symptoms of angina pectoris. This includes patients who have undergone CABG and are experiencing chest pain due to graft-related ischemia.

When should I25.72 be used instead of related codes?

I25.72 should be used when the patient has a documented history of CABG with subsequent atherosclerosis of the grafts and is experiencing angina. It is important to differentiate from other codes that may pertain to native coronary arteries or asymptomatic conditions.

What documentation supports I25.72?

Documentation should include the patient's history of coronary artery disease, details of previous CABG surgeries, current symptoms of angina, and results from diagnostic tests that confirm graft atherosclerosis.