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ICD-10 Guide
ICD-10 CodesI25.739

I25.739

Billable

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

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

Code Description

ICD-10 I25.739 is a billable code used to indicate a diagnosis of atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris.

Key Diagnostic Point:

I25.739 refers to atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified 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 symptoms of angina pectoris, which can manifest as chest pain, discomfort, or pressure, especially during physical exertion or emotional stress. 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 or donors. Disease progression can lead to ischemic heart disease, heart attacks, or heart failure if not managed appropriately. Diagnostic considerations include imaging studies such as coronary angiography, stress tests, and echocardiograms to assess graft patency and heart function. The presence of unspecified angina pectoris indicates that the specific type of angina has not been determined, necessitating further evaluation to guide treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation of graft status and symptoms.
  • Treatment complexity: May involve medical management, lifestyle changes, or revascularization procedures.
  • Documentation requirements: Detailed clinical notes and imaging results are essential.
  • Coding specificity: Requires accurate identification of graft type and angina classification.

Audit Risk Factors

  • Common coding errors: Misidentification of graft type or angina classification.
  • Documentation gaps: Insufficient clinical details regarding symptoms and treatment.
  • Billing challenges: Potential denials if documentation does not support 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

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ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I25.739 lies in its association with increased morbidity and mortality due to potential heart complications. Understanding this condition is crucial for population health, as it affects a significant number of patients with a history of coronary artery bypass grafting. Quality measures related to this diagnosis focus on timely interventions and management strategies to improve patient outcomes. Epidemiologically, the prevalence of atherosclerosis in grafts highlights the need for ongoing monitoring and preventive care in patients with cardiovascular disease.

ICD-9 vs ICD-10

The clinical significance of I25.739 lies in its association with increased morbidity and mortality due to potential heart complications. Understanding this condition is crucial for population health, as it affects a significant number of patients with a history of coronary artery bypass grafting. Quality measures related to this diagnosis focus on timely interventions and management strategies to improve patient outcomes. Epidemiologically, the prevalence of atherosclerosis in grafts highlights the need for ongoing monitoring and preventive care in patients with cardiovascular disease.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity for procedures related to this condition is clearly documented. Common denials may arise from insufficient evidence of the condition or failure to specify the type of angina. Best practices include maintaining comprehensive clinical notes, ensuring that all relevant tests and evaluations are documented, and using appropriate modifiers when necessary to avoid billing issues.

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 I25.739?

I25.739 covers atherosclerosis affecting nonautologous biological coronary artery bypass grafts, leading to angina pectoris. It is important to differentiate this from other forms of coronary artery disease and specify the type of angina when possible.

When should I25.739 be used instead of related codes?

I25.739 should be used when the patient has a documented history of atherosclerosis in grafts with unspecified angina. If the angina type is known or if it involves native coronary arteries, other codes should be considered.

What documentation supports I25.739?

Documentation should include clinical notes detailing the patient's symptoms, diagnostic imaging results showing graft status, and any relevant history of coronary artery disease or previous interventions.