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ICD-10 Guide
ICD-10 CodesI25.798

I25.798

Billable

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

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

Code Description

ICD-10 I25.798 is a billable code used to indicate a diagnosis of atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris.

Key Diagnostic Point:

I25.798 refers to atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris. This condition arises when there is a buildup of plaque within the grafts used to bypass blocked coronary arteries, leading to reduced blood flow to the heart muscle. Clinically, patients may present with symptoms of angina, which can manifest as chest pain, discomfort, or pressure, particularly during physical exertion or stress. The anatomy involved includes the coronary arteries and the grafts, which may be saphenous veins or arterial conduits. Disease progression can lead to worsening angina, myocardial ischemia, and potentially myocardial infarction if not managed appropriately. Diagnostic considerations include a thorough patient history, physical examination, and imaging studies such as angiography or stress testing to assess graft patency and myocardial perfusion. Understanding the nuances of this condition is essential for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of cardiovascular anatomy and pathology.
  • Treatment complexity: May involve multiple treatment modalities including medication management and potential re-intervention.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to differentiate from other forms of coronary artery disease.

Audit Risk Factors

  • Common coding errors: Misapplication of codes related to other forms of angina or coronary artery disease.
  • Documentation gaps: Incomplete records regarding the patient's history of bypass grafts and angina symptoms.
  • Billing challenges: Potential denials due to lack of specificity in documentation or failure to meet medical necessity criteria.

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 I25.798 lies in its association with increased morbidity and potential mortality due to compromised coronary circulation. Understanding this condition is crucial for improving patient outcomes and managing population health effectively. Quality measures related to cardiovascular health often include monitoring and managing patients with a history of coronary artery bypass grafting, making accurate coding essential for healthcare utilization patterns and epidemiological tracking.

ICD-9 vs ICD-10

The clinical significance of I25.798 lies in its association with increased morbidity and potential mortality due to compromised coronary circulation. Understanding this condition is crucial for improving patient outcomes and managing population health effectively. Quality measures related to cardiovascular health often include monitoring and managing patients with a history of coronary artery bypass grafting, making accurate coding essential for healthcare utilization patterns and epidemiological tracking.

Reimbursement & Billing Impact

The clinical significance of I25.798 lies in its association with increased morbidity and potential mortality due to compromised coronary circulation. Understanding this condition is crucial for improving patient outcomes and managing population health effectively. Quality measures related to cardiovascular health often include monitoring and managing patients with a history of coronary artery bypass grafting, making accurate coding essential for healthcare utilization patterns and epidemiological tracking.

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 I25.798?

I25.798 covers atherosclerosis affecting coronary artery bypass grafts, specifically when patients present with other forms of angina pectoris, which may not be typical stable angina. This includes variant angina or unstable angina that may arise due to graft-related ischemia.

When should I25.798 be used instead of related codes?

I25.798 should be used when there is a confirmed diagnosis of atherosclerosis affecting bypass grafts accompanied by symptoms of angina that do not fit the criteria for stable angina or other related codes. It is essential to document the specific type of angina experienced by the patient.

What documentation supports I25.798?

Documentation should include a detailed patient history, clinical findings, results from diagnostic tests (such as angiography), and a clear description of the angina symptoms. Evidence of prior coronary artery bypass graft surgery and any related complications should also be included.