I25.5

I25.5: Ischemic cardiomyopathy

Billable / specific codeICD-10-CM

I25.5 is a billable, specific ICD-10-CM code for ischemic cardiomyopathy. It is valid for submission on a claim.

Check I25.5 with the rest of the claim: free scrubber

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.

coronary atherosclerosis (I25.1-, I25.7-)

Excludes2 inherited from the categories above I25.5

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)

Risk adjustment

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

Medicare coverage

I25.5 is named in 34 Medicare coverage policies: 34 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52458Automatic External Defibrillators - Policy Article
A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56391Billing and Coding: Implantable Automatic Defibrillators
A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing

Alphabetic index entries that lead here

Cardiomyopathy›ischemic
Ischemia, ischemic›cardiomyopathy
Disease, diseased›heart›ischemic›cardiomyopathy

Code history

Unchanged in every release from FY2024 to FY2027.