Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm
ICD-10 I25.751 is a billable code used to indicate a diagnosis of atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm.
I25.751 refers to atherosclerosis of the native coronary artery of a transplanted heart, accompanied by angina pectoris with documented spasm. This condition arises when the coronary arteries, which supply blood to the heart muscle, become narrowed or blocked due to the buildup of plaque, leading to reduced blood flow. In patients with a heart transplant, the native coronary arteries may still be susceptible to atherosclerosis, particularly in the context of immunosuppressive therapy that is often necessary post-transplant. The clinical presentation typically includes episodes of angina pectoris, which may manifest as chest pain or discomfort, often triggered by physical exertion or emotional stress. Documented spasm indicates that there are episodes of transient constriction of the coronary arteries, further complicating the patient's condition. Disease progression can lead to significant cardiovascular events, including myocardial infarction. Diagnostic considerations include coronary angiography, stress testing, and possibly intravascular ultrasound to assess the severity of arterial blockages and spasm. Regular monitoring and management are crucial to prevent severe complications.
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
I25.751 covers atherosclerosis of the native coronary artery in a transplanted heart, specifically when the patient experiences angina pectoris with documented coronary artery spasm. This includes patients who have undergone heart transplantation and are experiencing symptoms related to coronary artery disease.
I25.751 should be used when the patient has a documented history of atherosclerosis in the native coronary artery of a transplanted heart, along with episodes of angina and confirmed coronary artery spasm. It is important to differentiate this from other codes that do not include spasm or angina.
Documentation should include a detailed clinical history, results from diagnostic tests such as angiography or stress tests, and notes on the patient's symptoms, particularly episodes of angina and any documented spasm. Comprehensive records of treatment and follow-up care are also essential.
