Chapter 9 - Diseases of the circulatory system (I00-I99) » Ischemic heart diseases (I20-I25) » Atherosclerotic heart disease of native coronary artery with angina pectoris (I25.11)
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Refractory angina pectoris, the chronic condition of angina in the setting of coronary artery disease that cannot be controlled by multiple treatment options, has not had a dedicated diagnosis code. This year, new ICD-10-CM codes have been added to properly reflect and document the condition.
A new code has been added to the I20 angina pectoris category for refractory angina pectoris.
- I20.2 Refractory angina pectoris
Additionally, the I25 atherosclerosis category has been updated to include refractory angina. The new codes are:
- I25.112 Atherosclerosis heart disease of native coronary artery with refractory angina pectoris
- I25.702 Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris
- I25.712 Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris
- I25.722 Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris
- I25.732 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris
- I25.752 Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris
- I25.762 Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris
- I25.792 Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris
The changes for ICD-10-CM diagnosis codes in the 2023 code book go into effect on October 1, 2022.
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Article CMS (Centers for Medicare and Medicaid) released the diagnosis code files for 2023 that are available for download on the CMS websi... A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as I25.111. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. ICD-10-CM Diagnosis Code I20.1 Applicable ToSCAI Practice Update—ICD-10 Diagnosis Codes for 2023
Angina pectoris with documented spasm
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
The following code(s) above I25.111 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
- I00-I99
2023 ICD-10-CM Range I00-I99
Diseases of the circulatory system
Type 2 Excludes
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- transient cerebral ischemic attacks and related syndromes (G45.-)
- I20-I25
2023 ICD-10-CM Range I20-I25
Ischemic heart diseases
Code Also
- the presence of hypertension (I10-I16)
- I25
ICD-10-CM Diagnosis Code I25
Chronic ischemic heart disease
- 2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Type 2 Excludes
- non-ischemic myocardial injury (I5A)
Use Additional
- code to identify:
- chronic total occlusion of coronary artery (I25.82)
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
- I25.1
ICD-10-CM Diagnosis Code I25.1
- 2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Applicable To
- Atherosclerotic cardiovascular disease
- Coronary (artery) atheroma
- Coronary (artery) atherosclerosis
- Coronary (artery) disease
- Coronary (artery) sclerosis
Type 2 Excludes
- atheroembolism (I75.-)
- atherosclerosis of coronary artery bypass graft(s) and transplanted heart (I25.7-)
Use Additional
- code, if applicable, to identify:
- coronary atherosclerosis due to calcified coronary lesion (I25.84)
- coronary atherosclerosis due to lipid rich plaque (I25.83)
- 302 Atherosclerosis with mcc
- 303 Atherosclerosis without mcc
Convert I25.111 to ICD-9-CM
Code History- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
- Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification) I70.90
ICD-10-CM Diagnosis Code I70.90
Unspecified atherosclerosis
- 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)
- coronary (artery) I25.10
ICD-10-CM Diagnosis Code I25.10
Atherosclerotic heart disease of native coronary artery without angina pectoris
- 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)
Applicable To
- Atherosclerotic heart disease NOS
- native vessel
- with
- angina pectoris I25.119
ICD-10-CM Diagnosis Code I25.119
Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
- 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)
Applicable To
- Atherosclerotic heart disease with angina NOS
- Atherosclerotic heart disease with ischemic chest pain
Type 1 Excludes
- unspecified angina pectoris without atherosclerotic heart disease (I20.9)
- with documented spasm I25.111
- angina pectoris I25.119
- with
- coronary (artery) I25.10
ICD-10-CM Codes Adjacent To I25.111
I24 Other acute ischemic heart diseases
I24.0 Acute coronary thrombosis not resulting in myocardial infarction
I24.8 Other forms of acute ischemic heart disease
I24.9 Acute ischemic heart disease, unspecified
I25 Chronic ischemic heart disease
I25.1 Atherosclerotic heart disease of native coronary artery
I25.10 …… without angina pectoris
I25.11 Atherosclerotic heart disease of native coronary artery with angina pectoris
I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.111 …… with documented spasm
I25.112 Atherosclerosic heart disease of native coronary artery with refractory angina pectoris
I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
I25.2 Old myocardial infarction
I25.4 Coronary artery aneurysm and dissection
I25.41 Coronary artery aneurysm
I25.42 Coronary artery dissection
I25.5 Ischemic cardiomyopathy
I25.6 Silent myocardial ischemia
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.