ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesI25.760

I25.760

Billable

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

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

Code Description

ICD-10 I25.760 is a billable code used to indicate a diagnosis of atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina.

Key Diagnostic Point:

I25.760 refers to atherosclerosis of a bypass graft of the coronary artery in a transplanted heart, accompanied by unstable angina. This condition arises when there is a buildup of plaque in the grafted arteries, leading to reduced blood flow and oxygen supply to the heart muscle. Clinically, patients may present with chest pain, shortness of breath, and other symptoms indicative of angina, which can vary in intensity and duration. The anatomy involved includes the coronary arteries that have been surgically bypassed during heart transplantation, which can become narrowed or blocked due to atherosclerosis. Disease progression may lead to more severe ischemic events, including myocardial infarction, if not managed appropriately. Diagnostic considerations include a thorough patient history, physical examination, and advanced imaging techniques such as angiography or stress testing to assess graft patency and coronary blood flow. Regular monitoring and management of risk factors such as hypertension, diabetes, and hyperlipidemia are crucial in preventing further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of post-transplant complications and cardiovascular pathology.
  • Treatment complexity: Involves multi-disciplinary management including cardiology, transplant surgery, and pharmacotherapy.
  • Documentation requirements: Detailed clinical documentation is 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: Misclassification of unstable angina or failure to document the graft status.
  • Documentation gaps: Incomplete records regarding the patient's history of heart transplant and current symptoms.
  • Billing challenges: Potential denials due to lack of specificity in documentation or failure to meet medical necessity criteria.

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 I25.760 lies in its association with increased morbidity and potential mortality due to cardiovascular events. Unstable angina can lead to acute coronary syndrome, necessitating urgent medical intervention. From a population health perspective, understanding the prevalence of atherosclerosis in transplanted hearts can inform healthcare utilization patterns and guide preventive strategies. Quality measures focusing on the management of post-transplant cardiovascular health are essential for improving patient outcomes and reducing healthcare costs.

ICD-9 vs ICD-10

The clinical significance of I25.760 lies in its association with increased morbidity and potential mortality due to cardiovascular events. Unstable angina can lead to acute coronary syndrome, necessitating urgent medical intervention. From a population health perspective, understanding the prevalence of atherosclerosis in transplanted hearts can inform healthcare utilization patterns and guide preventive strategies. Quality measures focusing on the management of post-transplant cardiovascular health are essential for improving patient outcomes and reducing healthcare costs.

Reimbursement & Billing Impact

Reimbursement considerations include verifying that the services provided are medically necessary and align with the patient's documented condition. Common denials may arise from insufficient documentation or failure to meet payer-specific criteria for unstable angina. Adhering to coding best practices, such as using the most specific codes and ensuring accurate descriptions of the patient's condition, can help mitigate these challenges.

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 I25.760?

I25.760 covers atherosclerosis affecting the bypass grafts of coronary arteries in patients with a transplanted heart, specifically when accompanied by unstable angina. This includes symptoms of chest pain or discomfort that may occur unpredictably and can signify a critical reduction in blood flow.

When should I25.760 be used instead of related codes?

I25.760 should be used when the patient exhibits unstable angina in conjunction with atherosclerosis of the bypass grafts in a transplanted heart. If the patient has stable angina or no angina symptoms, other codes such as I25.759 should be considered.

What documentation supports I25.760?

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 risk factors or comorbidities that contribute to the patient's cardiovascular status.