Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm
ICD-10 I25.731 is a billable code used to indicate a diagnosis of atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm.
I25.731 refers to atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris and documented spasm. This condition arises when there is a buildup of plaque in the grafts used to bypass blocked coronary arteries, leading to reduced blood flow to the heart muscle. Patients may experience angina pectoris, characterized by chest pain or discomfort due to inadequate blood supply during physical exertion or stress. The presence of documented spasm indicates that the coronary arteries may also constrict, further exacerbating ischemic symptoms. The anatomy involved includes the coronary arteries and the grafts, which can be derived from biological sources such as veins or arteries from the patient. Disease progression may lead to worsening angina, myocardial infarction, or heart failure if not managed appropriately. Diagnostic considerations include patient history, physical examination, electrocardiograms, stress testing, and imaging studies such as angiography to assess graft patency and coronary artery status.
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
I25.731 covers atherosclerosis affecting nonautologous biological coronary artery bypass grafts, specifically when patients experience angina pectoris and have documented episodes of coronary artery spasm.
I25.731 should be used when there is clear evidence of atherosclerosis in bypass grafts along with angina and documented spasm, differentiating it from codes that pertain to native coronary arteries or those without spasm.
Documentation should include a detailed patient history, evidence of angina episodes, results from diagnostic tests confirming graft involvement, and notes on any documented coronary artery spasms.
