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I20 ICD-10-CM Code: Angina pectoris

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FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Ischemic heart diseases (I20-I25)

I20

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Angina pectoris

Angina pectoris

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
I2Ischemic heart diseases (I20-I25)
I20Angina pectoris

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I20 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I20 in this effective period.

Related Child Codes

Official
I20.0Unstable angina
I20.1Angina pectoris with documented spasm
I20.2Refractory angina pectoris
I20.8Other forms of angina pectoris
I20.9Angina pectoris, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for I20 in this effective period.

Excludes 1

Official
  • angina pectoris with atherosclerotic heart disease of native coronary arteries (I25.1-)
  • atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris (I25.7-)
  • postinfarction angina (I23.7)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I20 in this effective period.

Use Additional

Official
  • code to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)

Code Also

Official

ICD-10-CM does not list Code Also instructions for I20 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

I20 is the ICD-10-CM diagnosis code for angina pectoris. I20 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering ischemic heart diseases (i20-i25).

Header codes like I20 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at I20's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I20 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • angina pectoris with atherosclerotic heart disease of native coronary arteries (I25.1-)
  • atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris (I25.7-)
  • postinfarction angina (I23.7)

Use Additional Code

  • code to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Child Codes

Code Hierarchy

I20Angina pectoris
I20Angina pectoris

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