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ICD-10 Guide
ICD-10 CodesI25.79

I25.79

Non-billable

Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris

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

Code Description

ICD-10 I25.79 is a used to indicate a diagnosis of atherosclerosis of other coronary artery bypass graft(s) with angina pectoris.

Key Diagnostic Point:

I25.79 refers to atherosclerosis of other coronary artery bypass graft(s) with angina pectoris. This condition occurs when there is a buildup of plaque in the grafted coronary arteries, leading to reduced blood flow to the heart muscle and resulting in angina, which is characterized by chest pain or discomfort. The anatomy involved includes the coronary arteries that have been surgically bypassed, which may become narrowed or blocked due to atherosclerosis. Disease progression can lead to worsening angina, myocardial ischemia, and potentially myocardial infarction if left untreated. Diagnostic considerations include patient history, physical examination, and imaging studies such as angiography or stress tests to assess the severity of the graft disease and the presence of ischemia. Clinicians must differentiate this condition from other forms of coronary artery disease and angina to ensure appropriate management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation of graft status and symptoms.
  • Treatment complexity: May involve medical management, lifestyle changes, or further surgical intervention.
  • Documentation requirements: Detailed clinical notes and imaging results are necessary.
  • Coding specificity: Requires precise coding to differentiate from other coronary artery conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of graft-related conditions.
  • Documentation gaps: Incomplete records of patient symptoms or treatment plans.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

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

Cardiothoracic 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 I25.79 lies in its association with increased morbidity and potential mortality due to heart disease. Understanding this condition is crucial for improving population health outcomes, as it affects a significant number of patients with a history of coronary artery bypass surgery. Quality measures related to the management of angina and graft health can lead to better healthcare utilization patterns and improved patient care strategies.

ICD-9 vs ICD-10

The clinical significance of I25.79 lies in its association with increased morbidity and potential mortality due to heart disease. Understanding this condition is crucial for improving population health outcomes, as it affects a significant number of patients with a history of coronary artery bypass surgery. Quality measures related to the management of angina and graft health can lead to better healthcare utilization patterns and improved patient care strategies.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is supported by clinical evidence and that all relevant procedures are coded accurately. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for the services rendered. Best practices include maintaining thorough records of patient encounters, diagnostic tests, and treatment plans to support the coding and billing process.

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 I25.79?

I25.79 covers atherosclerosis affecting coronary artery bypass grafts, specifically when patients present with angina pectoris. This includes grafts from previous bypass surgeries that have developed atherosclerotic changes leading to ischemic symptoms.

When should I25.79 be used instead of related codes?

I25.79 should be used when the patient has a documented history of coronary artery bypass grafting and presents with angina due to atherosclerosis in those grafts, distinguishing it from other coronary artery disease codes.

What documentation supports I25.79?

Documentation should include a detailed history of coronary artery bypass grafting, current symptoms of angina, results from diagnostic tests such as angiography, and any treatment plans that address the grafts' condition.