Chronic ischemic heart disease
Chapter 9:Diseases of the circulatory system
ICD-10 I25 is a used to indicate a diagnosis of chronic ischemic heart disease.
Chronic ischemic heart disease (I25) encompasses a range of heart conditions characterized by reduced blood flow to the heart muscle due to narrowed or blocked coronary arteries. This condition often presents with symptoms such as angina pectoris, shortness of breath, and fatigue, particularly during physical exertion or stress. The anatomy involved includes the coronary arteries, which supply blood to the heart muscle, and any obstruction can lead to myocardial ischemia. Disease progression may vary, with some patients experiencing stable angina while others may develop acute coronary syndromes. Diagnostic considerations include a thorough patient history, physical examination, and diagnostic tests such as electrocardiograms (ECGs), stress tests, and coronary angiography to assess the severity of arterial blockages. Management typically involves lifestyle modifications, pharmacotherapy (e.g., antiplatelet agents, beta-blockers), and potentially revascularization procedures like angioplasty or coronary artery bypass grafting (CABG).
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 covers chronic ischemic heart disease, including stable angina, unstable angina, and myocardial infarction due to ischemic heart disease. It may also include conditions such as coronary artery disease and heart failure resulting from chronic ischemia.
I25 should be used when the patient has a documented history of chronic ischemic heart disease, particularly when symptoms are stable and there is evidence of coronary artery disease. It is distinct from acute conditions coded under I20 or I21.
Documentation should include a detailed patient history, results from diagnostic tests (e.g., ECG, stress tests), treatment plans, and any referrals to specialists. Evidence of chronicity and management strategies should be clearly outlined.
