Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
ICD-10 I25.791 is a billable code used to indicate a diagnosis of atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm.
I25.791 refers to atherosclerosis of other coronary artery bypass graft(s) with 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 typically present with episodes of angina pectoris, characterized by chest pain or discomfort, which may be triggered by physical activity or emotional stress. The documented spasm indicates that there are transient episodes of constriction in the coronary arteries or grafts, further complicating the clinical picture. The anatomy involved includes the coronary arteries and the bypass grafts, which may be constructed from veins or arteries from other parts of the body. Disease progression can lead to worsening angina, myocardial ischemia, and potentially myocardial infarction if not managed appropriately. Diagnostic considerations include patient history, physical examination, stress testing, angiography, and possibly intravascular ultrasound to assess graft patency and spasm. Accurate diagnosis is crucial for effective management and treatment planning.
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
I25.791 covers atherosclerosis affecting coronary artery bypass grafts, specifically when patients experience angina pectoris with documented episodes of coronary artery spasm. This includes patients who have previously undergone bypass surgery and are now experiencing complications related to grafts.
I25.791 should be used when the patient has a documented history of angina pectoris specifically linked to atherosclerosis of bypass grafts, along with evidence of coronary artery spasm. It is important to differentiate this from other forms of coronary artery disease that do not involve bypass grafts.
Documentation should include a detailed patient history of angina episodes, results from diagnostic tests such as angiography or stress tests, and notes indicating the presence of spasm in the grafts. Clear clinical evidence of the relationship between the symptoms and the graft condition is essential.
