Is I25.7 a billable ICD-10-CM code?

No. I25.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I25.7 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 I25.7?

I25.7 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

I25.7

I25.7 — Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris

Non-billable headerICD-10-CM

I25.7 is a non-billable header ICD-10-CM code for atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

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

atherosclerosis of bypass graft(s) of transplanted heart without angina pectoris (I25.812)
atherosclerosis of coronary artery bypass graft(s) without angina pectoris (I25.810)
atherosclerosis of native coronary artery of transplanted heart without angina pectoris (I25.811)

Use additional code

Add a secondary code to capture the detail described below.

code, if applicable, to identify:
coronary atherosclerosis due to calcified coronary lesion (I25.84)
coronary atherosclerosis due to lipid rich plaque (I25.83)

Other codes that can never be billed with I25.7

These codes carry an Excludes1 note pointing at I25.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I25.7 alone.

T86.290Cardiac allograft vasculopathy
I20Angina pectoris
I25.810Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
I25.811Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
I25.812Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris

Risk adjustment

I25.7 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.

Code to one of these instead I25.7

7 child codes. Green means billable.

Related codes at this level

Codes that share I25. If I25.7 is not quite right, the correct code is usually one of these.

Questions about I25.7

Is I25.7 a billable ICD-10-CM code?: No. I25.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I25.7 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 I25.7?: I25.7 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.