Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm
ICD-10 I25.761 is a billable code used to indicate a diagnosis of atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm.
I25.761 refers to atherosclerosis of a bypass graft of the coronary artery in a transplanted heart, accompanied by angina pectoris with documented spasm. This condition arises when there is a buildup of plaque in the grafts used to bypass blocked coronary arteries, leading to reduced blood flow and oxygen to the heart muscle. Patients may experience angina, which is chest pain or discomfort that occurs when the heart muscle does not receive enough blood. The presence of documented spasm indicates that the coronary arteries may temporarily constrict, further exacerbating ischemic symptoms. The anatomy involved includes the transplanted heart's coronary arteries and the grafts that connect to them. Disease progression can lead to serious complications, including myocardial infarction or heart failure if not managed appropriately. Diagnostic considerations include imaging studies such as angiography, stress tests, and clinical evaluations to assess the severity of the atherosclerosis and the presence of spasm. Effective management often requires a multidisciplinary approach, including cardiology, transplant surgery, and possibly interventional procedures.
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
I25.761 covers atherosclerosis of bypass grafts in patients with a transplanted heart who experience angina pectoris with documented spasm. This includes patients who have undergone heart transplantation and have developed graft-related ischemic symptoms.
I25.761 should be used when there is clear documentation of atherosclerosis in the bypass graft of a transplanted heart, accompanied by angina pectoris and evidence of coronary artery spasm. If these specific conditions are not present, other codes such as I25.760 may be more appropriate.
Documentation must include clinical notes indicating the diagnosis of atherosclerosis in the graft, evidence of angina pectoris, and records of documented coronary artery spasm. Imaging studies and stress test results should also be included to support the diagnosis.
