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ICD-10 Guide
ICD-10 CodesI25.720

I25.720

Billable

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

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

Code Description

ICD-10 I25.720 is a billable code used to indicate a diagnosis of atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris.

Key Diagnostic Point:

I25.720 refers to atherosclerosis of autologous artery 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 reduced blood flow to the heart muscle. 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 bypass grafts, which can be sourced from the patient's own arteries or veins. Disease progression can lead to significant cardiovascular events, including myocardial infarction, if left untreated. Diagnostic considerations include a thorough patient history, physical examination, and imaging studies such as angiography to assess graft patency and the extent of atherosclerosis. The management of this condition often involves a combination of lifestyle modifications, pharmacotherapy, and possibly re-intervention to restore adequate blood flow.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires detailed assessment of symptoms and imaging studies.
  • Treatment complexity: May involve multiple treatment modalities including medication and potential surgical intervention.
  • Documentation requirements: Requires comprehensive documentation of patient history, symptoms, and diagnostic findings.
  • Coding specificity: Specific to atherosclerosis in bypass grafts with unstable angina, necessitating precise coding.

Audit Risk Factors

  • Common coding errors: Misclassification of stable vs. unstable angina.
  • Documentation gaps: Incomplete records of patient symptoms or treatment plans.
  • Billing challenges: Potential denials due to insufficient documentation supporting the diagnosis.

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 I25.720 lies in its association with increased risk of adverse cardiovascular events, which can lead to higher healthcare utilization and costs. Unstable angina is a critical condition that requires prompt intervention to prevent myocardial infarction. Understanding the epidemiology of this condition is essential for population health management, as it affects a significant portion of patients with a history of coronary artery disease and bypass surgery.

ICD-9 vs ICD-10

The clinical significance of I25.720 lies in its association with increased risk of adverse cardiovascular events, which can lead to higher healthcare utilization and costs. Unstable angina is a critical condition that requires prompt intervention to prevent myocardial infarction. Understanding the epidemiology of this condition is essential for population health management, as it affects a significant portion of patients with a history of coronary artery disease and bypass surgery.

Reimbursement & Billing Impact

The clinical significance of I25.720 lies in its association with increased risk of adverse cardiovascular events, which can lead to higher healthcare utilization and costs. Unstable angina is a critical condition that requires prompt intervention to prevent myocardial infarction. Understanding the epidemiology of this condition is essential for population health management, as it affects a significant portion of patients with a history of coronary artery disease and bypass surgery.

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 I25.720?

I25.720 covers atherosclerosis affecting autologous artery grafts used in coronary artery bypass surgery, specifically when the patient experiences unstable angina pectoris, which is defined by chest pain that occurs at rest or with minimal exertion.

When should I25.720 be used instead of related codes?

I25.720 should be used when there is documented evidence of unstable angina in a patient with a history of coronary artery bypass grafting and atherosclerosis affecting those grafts. If the angina is stable or there is no graft involvement, other codes should be considered.

What documentation supports I25.720?

Documentation should include a detailed patient history, clinical findings indicating unstable angina, results from diagnostic tests such as stress tests or angiography, and treatment plans that reflect the management of both the atherosclerosis and the unstable angina.