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ICD-10 Guide
ICD-10 CodesI25.730

I25.730

Billable

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

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

Code Description

ICD-10 I25.730 is a billable code used to indicate a diagnosis of atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris.

Key Diagnostic Point:

I25.730 refers to atherosclerosis of nonautologous biological coronary artery bypass graft(s) accompanied by unstable angina pectoris. This condition arises when plaque builds up in the grafts used to bypass blocked coronary arteries, leading to reduced blood flow to the heart muscle. Clinically, patients may present with chest pain, shortness of breath, and other symptoms indicative of unstable angina, which is characterized by increased frequency and severity of angina episodes, often occurring at rest or with minimal exertion. The anatomy involved includes the coronary arteries and the grafts, which may be derived from biological sources such as veins or arteries from the patient's own body. Disease progression can lead to myocardial ischemia and potentially 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 the patency of the grafts and the severity of coronary artery disease. Laboratory tests may also be utilized to evaluate cardiac biomarkers in the context of unstable angina.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive assessment of coronary artery disease and graft status.
  • Treatment complexity: Management may involve medications, lifestyle changes, and possibly revascularization procedures.
  • 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: Misidentification of the type of graft or failure to document unstable angina.
  • Documentation gaps: Incomplete clinical notes that do not clearly outline the patient's condition and treatment.
  • Billing challenges: Potential for denials if documentation does not support the severity of the condition or the necessity of procedures.

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

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ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I25.730 lies in its association with increased risk of adverse cardiac events, necessitating timely intervention. Population health impact is notable, as patients with a history of coronary artery bypass grafting are at higher risk for complications related to graft atherosclerosis. Quality measures may include monitoring for timely diagnosis and treatment of unstable angina, which can improve healthcare utilization patterns and reduce hospital admissions. Epidemiologically, this condition highlights the importance of managing cardiovascular risk factors in patients with a history of coronary artery disease.

ICD-9 vs ICD-10

The clinical significance of I25.730 lies in its association with increased risk of adverse cardiac events, necessitating timely intervention. Population health impact is notable, as patients with a history of coronary artery bypass grafting are at higher risk for complications related to graft atherosclerosis. Quality measures may include monitoring for timely diagnosis and treatment of unstable angina, which can improve healthcare utilization patterns and reduce hospital admissions. Epidemiologically, this condition highlights the importance of managing cardiovascular risk factors in patients with a history of coronary artery disease.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity for any procedures performed is well-documented. Common denials may arise from insufficient documentation or failure to demonstrate the severity of the condition. Best practices include thorough clinical notes, clear treatment plans, and regular updates to the patient's status to support ongoing care and billing.

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 I25.730?

I25.730 specifically covers atherosclerosis affecting nonautologous biological coronary artery bypass grafts in patients experiencing unstable angina pectoris. This includes patients who have undergone bypass surgery and are now presenting with symptoms of unstable angina due to graft-related complications.

When should I25.730 be used instead of related codes?

I25.730 should be used when the patient has a documented history of nonautologous biological coronary artery bypass grafts and is currently experiencing unstable angina. It is important to differentiate this from other codes that may pertain to native coronary artery disease or stable angina.

What documentation supports I25.730?

Documentation supporting I25.730 should include a detailed history of the patient's coronary artery bypass grafting, current symptoms of unstable angina, results from diagnostic tests (such as angiography), and any relevant treatment plans. Clear notes on the patient's clinical status and response to treatment are also essential.