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 CodesI25.790

I25.790

Billable

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

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

Code Description

ICD-10 I25.790 is a billable code used to indicate a diagnosis of atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris.

Key Diagnostic Point:

I25.790 refers to atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris. This condition arises when there is a buildup of plaque in the grafts used to bypass blocked coronary arteries, leading to reduced blood flow to the heart muscle. Clinically, patients may present with symptoms of unstable angina, characterized by chest pain or discomfort that occurs unpredictably and may worsen over time. The anatomy involved includes the coronary arteries and the grafts, which can be saphenous veins or arterial conduits. Disease progression can lead to myocardial ischemia, heart attacks, and further complications if not managed appropriately. Diagnostic considerations include a thorough patient history, physical examination, electrocardiograms (ECGs), stress testing, and possibly coronary angiography to assess graft patency and the extent of atherosclerosis. Early identification and management are crucial to prevent serious cardiovascular events.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation of symptoms and diagnostic tests.
  • Treatment complexity: May involve medication management, lifestyle changes, and potential revascularization procedures.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to differentiate from other coronary artery conditions.

Audit Risk Factors

  • Common coding errors: Misidentifying the type of coronary artery disease or graft involved.
  • Documentation gaps: Incomplete records regarding the patient's history of coronary artery bypass grafting.
  • Billing challenges: Potential for denials if documentation does not clearly support the diagnosis of unstable angina.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I25.790 is profound, as unstable angina can lead to serious cardiovascular events, impacting patient morbidity and mortality. Understanding the epidemiology of this condition is crucial, as it affects a significant portion of the population with a history of coronary artery disease. Quality measures related to timely diagnosis and management of unstable angina can improve patient outcomes and reduce healthcare utilization, emphasizing the importance of accurate coding and documentation.

ICD-9 vs ICD-10

The clinical significance of I25.790 is profound, as unstable angina can lead to serious cardiovascular events, impacting patient morbidity and mortality. Understanding the epidemiology of this condition is crucial, as it affects a significant portion of the population with a history of coronary artery disease. Quality measures related to timely diagnosis and management of unstable angina can improve patient outcomes and reduce healthcare utilization, emphasizing the importance of accurate coding and documentation.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity for diagnostic tests and treatments is clearly documented. Common denials may arise from insufficient evidence of unstable angina or lack of clarity regarding the grafts involved. Best practices include thorough documentation of patient history, symptomatology, and treatment plans, as well as regular audits of coding practices to ensure compliance with payer requirements.

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 I25.790?

I25.790 covers atherosclerosis affecting coronary artery bypass grafts, specifically when patients experience unstable angina pectoris. This includes symptoms of chest pain that occur at rest or with minimal exertion, indicating a significant risk of myocardial infarction.

When should I25.790 be used instead of related codes?

I25.790 should be used when the patient has a documented history of coronary artery bypass grafting and presents with unstable angina due to atherosclerosis affecting those grafts. It is important to differentiate from codes related to native coronary arteries.

What documentation supports I25.790?

Documentation should include a detailed history of coronary artery disease, prior bypass surgeries, current symptoms of unstable angina, results from diagnostic tests (like ECGs or angiograms), and treatment plans that reflect the severity of the condition.