I25.811: Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
I25.811 is a billable, specific ICD-10-CM code for atherosclerosis of native coronary artery of transplanted heart without angina pectoris. It is valid for submission on a claim.
Check I25.811 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- atherosclerosis of native coronary artery of transplanted heart with angina pectoris (I25.75-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Atherosclerosis of native coronary artery of transplanted heart NOS
Excludes2 inherited from the categories above I25.811
Not part of this code, but both may be coded when both are present.
Written on I25.81: Atherosclerosis of other coronary vessels without angina pectoris
- atherosclerotic heart disease of native coronary artery without angina pectoris (I25.10)
Written on I25: Chronic ischemic heart disease
- non-ischemic myocardial injury (I5A)
Other codes that can never be billed with I25.811
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I25.811 is named in 29 Medicare coverage policies: 29 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- 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
- Atherosclerosis›transplanted heart
- Arteriosclerosis, arteriosclerotic›coronary›transplanted heart
- Atherosclerosis›transplanted heart›native coronary artery
- Arteriosclerosis, arteriosclerotic›coronary›transplanted heart›native coronary artery
Code history
Unchanged in every release from FY2024 to FY2027.