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ICD-10 Guide
ICD-10 CodesI25.76

I25.76

Non-billable

Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris

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

Code Description

ICD-10 I25.76 is a used to indicate a diagnosis of atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris.

Key Diagnostic Point:

I25.76 refers to atherosclerosis of a bypass graft of the coronary artery in a transplanted heart, accompanied by angina pectoris. This condition arises when plaque builds up in the grafts used to bypass blocked coronary arteries, leading to reduced blood flow and oxygen to the heart muscle. Clinically, patients may present with symptoms of angina, which can manifest as chest pain or discomfort, often triggered by physical exertion or emotional stress. The anatomy involved includes the coronary arteries and the grafts that have been surgically implanted to restore blood flow. Disease progression can lead to ischemia and potentially myocardial infarction if not managed appropriately. Diagnostic considerations include imaging studies such as coronary angiography, which can visualize the grafts and assess for patency and atherosclerotic changes. Regular follow-up and monitoring are crucial for early detection and management of complications associated with this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of post-transplant complications and graft health.
  • Treatment complexity: Management may involve medication adjustments, lifestyle changes, and possibly re-intervention.
  • Documentation requirements: Detailed clinical notes are necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to differentiate from other forms of coronary artery disease.

Audit Risk Factors

  • Common coding errors: Misidentifying the type of coronary artery disease or failing to specify the graft involvement.
  • Documentation gaps: Incomplete clinical notes that do not adequately describe the patient's condition or treatment.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect code selection.

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

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I25.76 lies in its association with increased morbidity and potential mortality in heart transplant patients. Atherosclerosis of grafts can lead to significant complications, affecting population health outcomes. Monitoring and managing this condition is crucial for improving quality measures related to heart transplant care and reducing healthcare utilization patterns associated with acute coronary events.

ICD-9 vs ICD-10

The clinical significance of I25.76 lies in its association with increased morbidity and potential mortality in heart transplant patients. Atherosclerosis of grafts can lead to significant complications, affecting population health outcomes. Monitoring and managing this condition is crucial for improving quality measures related to heart transplant care and reducing healthcare utilization patterns associated with acute coronary events.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly linked to the services provided. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for the procedures performed. Coders should ensure that all relevant clinical information is captured in the medical record to support the diagnosis and any associated treatments, following best practices for coding specificity and accuracy.

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 I25.76?

I25.76 specifically covers atherosclerosis affecting the bypass grafts of coronary arteries in patients who have undergone heart transplantation, particularly when accompanied by symptoms of angina pectoris.

When should I25.76 be used instead of related codes?

I25.76 should be used when the patient has a documented history of heart transplantation and presents with angina due to graft atherosclerosis, differentiating it from native coronary artery disease codes.

What documentation supports I25.76?

Documentation should include the patient's transplant history, current symptoms, results of diagnostic imaging showing graft status, and any relevant treatment plans or interventions.