I25.111

I25.111: Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm

Billable / specific codeICD-10-CM

I25.111 is a billable, specific ICD-10-CM code for atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm. It is valid for submission on a claim.

Check I25.111 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

angina pectoris with documented spasm without atherosclerotic heart disease (I20.1)

Excludes2 inherited from the categories above I25.111

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

Written on I25.1: Atherosclerotic heart disease of native coronary artery

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

Written on I25: Chronic ischemic heart disease

non-ischemic myocardial injury (I5A)

Risk adjustment

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

Medicare coverage

I25.111 is named in 38 Medicare coverage policies: 38 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
A56476Billing and Coding: Cardiac Radionuclide Imaging

Alphabetic index entries that lead here

Arteriosclerosis, arteriosclerotic›coronary›native vessel›with›angina pectoris›with documented spasm

Code history

Unchanged in every release from FY2024 to FY2027.