Ischemic cardiomyopathy
ICD-10 I25.5 is a billable code used to indicate a diagnosis of ischemic cardiomyopathy.
Ischemic cardiomyopathy (ICM) is a condition characterized by the weakening of the heart muscle due to inadequate blood supply, often resulting from coronary artery disease (CAD). Clinically, patients may present with symptoms such as dyspnea, fatigue, and palpitations, which can progress to heart failure if left untreated. The anatomy involved primarily includes the myocardium, which becomes ischemic due to narrowed or blocked coronary arteries. Over time, the heart muscle may undergo remodeling, leading to dilatation and impaired contractility. Diagnostic considerations for ICM include echocardiography, which assesses left ventricular function, and coronary angiography to evaluate the extent of coronary artery disease. Other tests may include cardiac MRI and stress testing to determine the functional capacity of the heart. The diagnosis of ICM is often made in conjunction with a history of myocardial infarction or chronic angina, emphasizing the need for a comprehensive evaluation of the patient's cardiovascular health.
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
I25.5 covers ischemic cardiomyopathy resulting from chronic ischemia, typically due to coronary artery disease. It includes patients with a history of myocardial infarction or chronic angina that leads to heart muscle dysfunction.
I25.5 should be used when there is clear evidence of heart muscle impairment due to ischemia, particularly when associated with a history of coronary artery disease. It is distinct from codes that refer to non-ischemic cardiomyopathy or other heart conditions.
Documentation should include a detailed patient history, results from diagnostic tests such as echocardiograms or angiograms, and evidence of ischemic heart disease. Clinical notes should reflect symptoms, treatment plans, and follow-up assessments.
