Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris
ICD-10 I25.762 is a billable code used to indicate a diagnosis of atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris.
I25.762 refers to atherosclerosis of a bypass graft of the coronary artery in a transplanted heart, accompanied by refractory angina pectoris. This condition arises when the grafts used to bypass blocked coronary arteries become narrowed or blocked due to atherosclerosis, a process characterized by the buildup of fatty deposits (plaques) in the arterial walls. The transplanted heart, which may have different hemodynamic and metabolic responses compared to a native heart, can experience significant ischemic symptoms, particularly refractory angina, which is chest pain that persists despite medical therapy. Clinically, patients may present with symptoms of chest discomfort, shortness of breath, and fatigue. Diagnostic considerations include imaging studies such as coronary angiography or non-invasive tests to assess graft patency and myocardial perfusion. The progression of the disease can lead to severe complications, including myocardial infarction, if not managed appropriately. Regular monitoring and early intervention are crucial for improving outcomes in these patients.
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
I25.762 covers atherosclerosis affecting bypass grafts in patients with a transplanted heart, specifically when accompanied by refractory angina pectoris. This includes cases where patients experience persistent chest pain despite optimal medical therapy.
I25.762 should be used when a patient has a documented history of coronary artery bypass grafting in a transplanted heart and presents with refractory angina. It is distinct from codes for native coronary artery disease or stable angina.
Documentation should include a detailed history of the patient's heart transplant, any prior coronary interventions, current symptoms of angina, results from diagnostic imaging, and treatment responses to support the diagnosis of refractory angina.
