ICD-10-CM Billable Code

I25.11

Atherosclerotic heart disease of native coronary artery with angina pectoris

Clinical Classification Guidelines

Medical Intelligence & Overview

Atherosclerotic heart disease of the native coronary artery with angina pectoris, classified under ICD-10 code I25.11, is a condition characterized by the buildup of fatty deposits (atherosclerosis) inside the coronary arteries. These arteries supply blood to the heart muscle. The narrowing or blockage caused by this buildup can lead to chest pain known as angina pectoris. This condition is a common manifestation of coronary artery disease (CAD) and can significantly impact quality of life by causing episodes of chest discomfort, especially during exertion or stress.

Causes & Symptoms

Clinical Causes: Accumulation of cholesterol, fatty deposits, and other substances within the coronary arteries Poor lifestyle choices such as a diet high in saturated fats and cholesterol Sedentary lifestyle lacking physical activity Smoking and tobacco use High blood pressure (hypertension) High blood cholesterol levels Diabetes mellitus Obesity Genetic factors and family history of coronary artery disease Chronic inflammation of blood vessel walls

Key Symptoms: Chest pain or discomfort, often described as a squeezing, pressure, fullness, or pain in the center of the chest Pain radiating to the neck, jaw, shoulders, arms, or back Shortness of breath Fatigue during physical activity Dizziness or lightheadedness Palpitations or irregular heartbeats Nausea or sweating during anginal episodes

Diagnostic & Treatment

Diagnosis Path: Electrocardiogram (ECG or EKG) to detect changes suggestive of ischemia Stress testing, such as treadmill or pharmacologic stress test to evaluate blood flow during exertion Echocardiography to assess heart function and structure Coronary angiography, an invasive procedure where dye is injected to visualize blood flow in coronary arteries Blood tests measuring cholesterol levels, blood sugar, and other markers

Treatment Protocols: Lifestyle modifications such as adopting a heart-healthy diet, quitting smoking, engaging in regular exercise, and maintaining a healthy weight Medications including nitrates for angina relief, antiplatelet agents like aspirin to prevent clot formation, statins to lower cholesterol, beta-blockers to reduce heart workload, and ACE inhibitors for blood pressure control Procedures like angioplasty and stenting to open blocked arteries Coronary artery bypass grafting (CABG) in severe cases Regular monitoring and follow-up with healthcare providers to assess and adjust treatment plans

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is I25.11 a billable ICD-10 code?
Yes, I25.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I25.11?
Clinical documentation must specify the nature of Atherosclerotic heart disease of native coronary artery with angina pectoris and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Clinical Meta Tags

heart pectoris disease coronary angina artery native