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ICD-10 Guide
ICD-10 CodesI25.759

I25.759

Billable

Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris

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

Code Description

ICD-10 I25.759 is a billable code used to indicate a diagnosis of atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris.

Key Diagnostic Point:

I25.759 refers to atherosclerosis of the native coronary artery of a transplanted heart, accompanied by unspecified angina pectoris. This condition arises when plaque builds up in the coronary arteries supplying blood to the heart muscle, leading to reduced blood flow and oxygen supply. In patients with a transplanted heart, the native coronary arteries can still develop atherosclerosis due to factors such as hyperlipidemia, hypertension, and diabetes. Clinical presentation may include chest pain or discomfort, which can be classified as angina pectoris. The anatomy involved includes the coronary arteries that were originally part of the patient’s heart, which may still be susceptible to atherosclerotic changes despite the heart transplant. Disease progression can lead to significant complications, including myocardial ischemia, heart failure, or even graft failure. Diagnostic considerations include imaging studies such as coronary angiography and non-invasive tests to assess myocardial perfusion. It is crucial for healthcare providers to monitor these patients closely due to the unique challenges posed by the transplanted heart and the potential for rapid disease progression.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of post-transplant cardiovascular changes.
  • Treatment complexity: Management may involve multiple specialties including cardiology and transplant surgery.
  • Documentation requirements: Detailed documentation of symptoms, diagnostic tests, and treatment plans is essential.
  • Coding specificity: Requires precise coding to differentiate from other forms of coronary artery disease.

Audit Risk Factors

  • Common coding errors: Misclassification of angina type or failure to document transplant history.
  • Documentation gaps: Incomplete records regarding the patient's transplant status or cardiovascular assessments.
  • Billing challenges: Potential denials due to lack of specificity in documentation or coding errors.

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

Transplant 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 I25.759 lies in its association with increased morbidity and mortality in heart transplant patients. Atherosclerosis can lead to graft failure and necessitate re-transplantation or advanced heart failure management. Understanding this condition is crucial for improving population health outcomes, as it highlights the need for ongoing cardiovascular monitoring in transplant recipients. Quality measures should focus on early detection and management of cardiovascular complications to enhance patient care and reduce healthcare utilization.

ICD-9 vs ICD-10

The clinical significance of I25.759 lies in its association with increased morbidity and mortality in heart transplant patients. Atherosclerosis can lead to graft failure and necessitate re-transplantation or advanced heart failure management. Understanding this condition is crucial for improving population health outcomes, as it highlights the need for ongoing cardiovascular monitoring in transplant recipients. Quality measures should focus on early detection and management of cardiovascular complications to enhance patient care and reduce healthcare utilization.

Reimbursement & Billing Impact

The clinical significance of I25.759 lies in its association with increased morbidity and mortality in heart transplant patients. Atherosclerosis can lead to graft failure and necessitate re-transplantation or advanced heart failure management. Understanding this condition is crucial for improving population health outcomes, as it highlights the need for ongoing cardiovascular monitoring in transplant recipients. Quality measures should focus on early detection and management of cardiovascular complications to enhance patient care and reduce healthcare utilization.

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 I25.759?

I25.759 covers atherosclerosis affecting the native coronary arteries of a transplanted heart, specifically when patients experience unspecified angina pectoris. This includes cases where patients may not have clearly defined angina types but still exhibit symptoms indicative of coronary artery disease.

When should I25.759 be used instead of related codes?

I25.759 should be used when a patient with a transplanted heart presents with symptoms of angina and has documented atherosclerosis of the native coronary arteries. It is important to differentiate this from other codes that may pertain to native coronary artery disease in non-transplanted patients.

What documentation supports I25.759?

Documentation should include a detailed history of the patient's heart transplant, current symptoms of angina, results from diagnostic tests (e.g., angiography), and any relevant comorbidities that may contribute to atherosclerosis. Clear documentation of the patient's cardiovascular status is essential.