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ICD-10 Guide
ICD-10 CodesI25.732

I25.732

Billable

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

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

Code Description

ICD-10 I25.732 is a billable code used to indicate a diagnosis of atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris.

Key Diagnostic Point:

I25.732 refers to atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris. 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. Clinically, patients may present with persistent chest pain (angina) that does not respond to standard treatments, indicating severe ischemia. 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 body. Disease progression often involves the gradual narrowing of the grafts due to atherosclerosis, which can lead to complications such as myocardial infarction if left untreated. Diagnostic considerations include angiography, stress testing, and imaging studies to assess graft patency and myocardial perfusion. Refractory angina pectoris is a critical symptom that necessitates careful evaluation and management, often requiring advanced therapeutic interventions.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation of graft status and patient symptoms.
  • Treatment complexity: May involve multiple treatment modalities including medication, revascularization, or surgical intervention.
  • Documentation requirements: Detailed clinical documentation is essential to justify 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 graft or failing to document refractory angina.
  • Documentation gaps: Incomplete clinical notes regarding the patient's symptoms and treatment history.
  • Billing challenges: Potential for denials if the medical necessity is not clearly established.

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 I25.732 lies in its association with increased morbidity and mortality due to heart disease. It highlights the need for effective management of patients with complex coronary artery disease, particularly those with grafts. Population health impact includes the necessity for targeted interventions to improve outcomes in patients with refractory angina, which can lead to higher healthcare utilization patterns. Epidemiologically, this condition underscores the importance of monitoring and managing cardiovascular health in populations at risk for coronary artery disease.

ICD-9 vs ICD-10

The clinical significance of I25.732 lies in its association with increased morbidity and mortality due to heart disease. It highlights the need for effective management of patients with complex coronary artery disease, particularly those with grafts. Population health impact includes the necessity for targeted interventions to improve outcomes in patients with refractory angina, which can lead to higher healthcare utilization patterns. Epidemiologically, this condition underscores the importance of monitoring and managing cardiovascular health in populations at risk for coronary artery disease.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity for advanced treatment options is clearly articulated in the clinical notes. Common denials may arise from insufficient documentation of the refractory nature of the angina or failure to provide evidence of the patient's treatment history. Best practices include thorough charting of patient symptoms, treatment responses, and any diagnostic imaging results to substantiate the coding and billing process.

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 I25.732?

I25.732 covers atherosclerosis affecting nonautologous biological coronary artery bypass grafts, specifically when patients experience refractory angina pectoris, indicating severe ischemia that is resistant to standard treatment.

When should I25.732 be used instead of related codes?

I25.732 should be used when the patient has a documented history of atherosclerosis in grafts and presents with refractory angina, distinguishing it from other codes that may pertain to native coronary arteries or non-refractory angina.

What documentation supports I25.732?

Documentation should include detailed clinical notes on the patient's history of coronary artery disease, the type of graft used, symptoms of angina, results from diagnostic tests, and treatment plans that demonstrate the refractory nature of the angina.