I25.1

I25.1: Atherosclerotic heart disease of native coronary artery

Non-billable headerICD-10-CM

I25.1 is a non-billable header ICD-10-CM code for atherosclerotic heart disease of native coronary artery. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

atheroembolism (I75.-)
atherosclerosis of coronary artery bypass graft(s) and transplanted heart (I25.7-)

Use additional code

Add a secondary code to capture the detail described below.

code, if applicable, to identify:
coronary atherosclerosis due to calcified coronary lesion (I25.84)
coronary atherosclerosis due to lipid rich plaque (I25.83)

Inclusion terms

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

Atherosclerotic cardiovascular disease
Coronary (artery) atheroma
Coronary (artery) atherosclerosis
Coronary (artery) disease
Coronary (artery) sclerosis

Excludes2 inherited from the categories above I25.1

Not part of this code, but both may be coded when both are present.

Written on I25: Chronic ischemic heart disease

non-ischemic myocardial injury (I5A)

Other codes that can never be billed with I25.1

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

I20Angina pectoris
I24.0Acute coronary thrombosis not resulting in myocardial infarction

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead I25.1

2 child codes. Green means billable.