I25.112 — Atherosclerotic heart disease of native coronary artery with refractory angina pectoris
I25.112 is a billable, specific ICD-10-CM code for atherosclerotic heart disease of native coronary artery with refractory angina pectoris. It is valid for submission on a claim.
Risk adjustment
I25.112 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
I25.112 is named in 51 Medicare coverage policies — 51 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53775Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
How I25.112 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I25.112.
- Arteriosclerosis, arteriosclerotic›coronary›native vessel›with›angina pectoris›refractory
Related codes at this level
Codes that share I25.11. If I25.112 is not quite right, the correct code is usually one of these.
- I25.110Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
- I25.111Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
- I25.118Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
- I25.119Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
Questions about I25.112
- Is I25.112 a billable ICD-10-CM code?
- Yes. I25.112 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I25.112 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Ischemic heart diseases (I20-I25).