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I20.81

I20.81: Angina pectoris with coronary microvascular dysfunction

Billable / specific codeICD-10-CM

I20.81 is a billable, specific ICD-10-CM code for angina pectoris with coronary microvascular dysfunction. It is valid for submission on a claim.

Check I20.81 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Angina pectoris with coronary microvascular disease

Excludes1 inherited from the categories above I20.81

A category’s note binds every code beneath it.

Written on I20: Angina pectoris

  • angina pectoris with atherosclerotic heart disease of native coronary arteries (I25.1-)
  • atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris (I25.7-)
  • postinfarction angina (I23.7)

Other codes that can never be billed with I20.81

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • I24Other acute ischemic heart diseases

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

I20.81 is named in 34 Medicare coverage policies: 34 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
  • A53775Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
  • A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
  • A56451Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)

Alphabetic index entries that lead here

  • Angina›with›coronary microvascular disease
  • Angina›with›coronary microvascular dysfunction
  • Dysfunction›coronary microvascular›with›angina pectoris
  • Disease, diseased›coronary›microvascular›with›angina pectoris

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under I20.8

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.