I25.6

I25.6: Silent myocardial ischemia

Billable / specific codeICD-10-CM

I25.6 is a billable, specific ICD-10-CM code for silent myocardial ischemia. It is valid for submission on a claim.

Check I25.6 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above I25.6

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

I25.6 is named in 31 Medicare coverage policies: 31 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A53775Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
A56451Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
A56476Billing and Coding: Cardiac Radionuclide Imaging

Alphabetic index entries that lead here

Ischemia, ischemic›myocardium, myocardial›silent(asymptomatic)
Disease, diseased›heart›ischemic›diagnosed on ECG or other special investigation, but currently presenting no symptoms
Disease, diseased›heart›ischemic›silent

Code history

Unchanged in every release from FY2024 to FY2027.