Is I25.83 a billable ICD-10-CM code?

Yes. I25.83 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does I25.83 sit in the tabular list?

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

I25.83

I25.83 — Coronary atherosclerosis due to lipid rich plaque

Billable / specific codeICD-10-CM

I25.83 is a billable, specific ICD-10-CM code for coronary atherosclerosis due to lipid rich plaque. It is valid for submission on a claim.

Code first

The underlying condition must be sequenced before this code.

coronary atherosclerosis (I25.1-, I25.7-, I25.81-)

Excludes2 inherited from the categories above I25.83

Also inherited, and the opposite of Excludes1: these conditions are not part of I25.83, but a patient can have both, so you may code both.

Written on I25 — Chronic ischemic heart disease

non-ischemic myocardial injury (I5A)

Risk adjustment

I25.83 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

I25.83 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56494Billing and Coding: Cardiovascular Nuclear Medicine
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56505Billing and Coding: Transesophageal Echocardiography (TEE)
A56743Billing and Coding: Cardiovascular Nuclear Medicine

How I25.83 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 I25.83.

Plaque›coronary, lipid rich
Plaque›lipid rich, coronary
Arteriosclerosis, arteriosclerotic›coronary›due to›lipid rich plaque
Atherosclerosis›coronary›artery›due to›lipid rich plaque

Code history

I25.83 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 I25.8. If I25.83 is not quite right, the correct code is usually one of these.

Questions about I25.83

Is I25.83 a billable ICD-10-CM code?: Yes. I25.83 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I25.83 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Ischemic heart diseases (I20-I25).