Is I25.119 a billable ICD-10-CM code?

Yes. I25.119 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does I25.119 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Ischemic heart diseases (I20-I25).

What cannot be coded together with I25.119?

I25.119 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

I25.119

I25.119 — Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris

Billable / specific codeICD-10-CM

I25.119 is a billable, specific ICD-10-CM code for atherosclerotic heart disease of native coronary artery with unspecified angina pectoris. It is valid for submission on a claim.

Excludes1 — never code together

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

unspecified angina pectoris without atherosclerotic heart disease (I20.9)

Inclusion terms

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

Atherosclerotic heart disease with angina NOS
Atherosclerotic heart disease with ischemic chest pain

Excludes2 inherited from the categories above I25.119

Also inherited, and the opposite of Excludes1: these conditions are not part of I25.119, but a patient can have both, so you may code both.

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

I25.119 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

I25.119 is named in 40 Medicare coverage policies — 40 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
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

How I25.119 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 I25.119.

Arteriosclerosis, arteriosclerotic›coronary›native vessel›with›angina pectoris
Arteriosclerosis, arteriosclerotic›coronary›native vessel›with›ischemic chest pain

Code history

I25.119 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share I25.11. If I25.119 is not quite right, the correct code is usually one of these.

Questions about I25.119

Is I25.119 a billable ICD-10-CM code?: Yes. I25.119 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I25.119 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Ischemic heart diseases (I20-I25).
What cannot be coded together with I25.119?: I25.119 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.