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I25.11 ICD-10-CM Code: Atherosclerotic heart disease of native coronary artery with angina pectoris

I25.11 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupI25.11

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

I25.11

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

Atherosclerotic heart disease of native coronary artery with angina pectoris

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official
  • Atherosclerotic cardiovascular diseaseInherited from I25.1
  • Coronary (artery) atheromaInherited from I25.1
  • Coronary (artery) atherosclerosisInherited from I25.1
  • Coronary (artery) diseaseInherited from I25.1
  • Coronary (artery) sclerosisInherited from I25.1

Excludes 2

Official
  • certain conditions originating in the perinatal period (P04-P96)Inherited from I00-I99, I25, I25.1
  • certain infectious and parasitic diseases (A00-B99)Inherited from I00-I99, I25, I25.1
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from I00-I99, I25, I25.1
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from I00-I99, I25, I25.1
  • endocrine, nutritional and metabolic diseases (E00-E88)Inherited from I00-I99, I25, I25.1
  • injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from I00-I99, I25, I25.1
  • neoplasms (C00-D49)Inherited from I00-I99, I25, I25.1
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from I00-I99, I25, I25.1
  • systemic connective tissue disorders (M30-M36)Inherited from I00-I99, I25, I25.1
  • transient cerebral ischemic attacks and related syndromes (G45.-)Inherited from I00-I99, I25, I25.1
  • non-ischemic myocardial injury (I5A)Inherited from I00-I99, I25, I25.1
  • atheroembolism (I75.-)Inherited from I00-I99, I25, I25.1
  • atherosclerosis of coronary artery bypass graft(s) and transplanted heart (I25.7-)Inherited from I00-I99, I25, I25.1

Includes

Official

No Includes notes are included in this display for I25.11. Check the code and parent instructions in the Code Book.

Excludes 1

Official

No Excludes 1 notes are included in this display for I25.11. Check the code and parent instructions in the Code Book.

Code First

Official

No Code First sequencing instructions are included in this display for I25.11. Check the code and parent instructions in the Code Book.

Use Additional

Official
  • code to identify:Inherited from I25, I25.1
  • chronic total occlusion of coronary artery (I25.82)Inherited from I25, I25.1
  • exposure to environmental tobacco smoke (Z77.22)Inherited from I25, I25.1
  • history of tobacco dependence (Z87.891)Inherited from I25, I25.1
  • occupational exposure to environmental tobacco smoke (Z57.31)Inherited from I25, I25.1
  • tobacco dependence (F17.-)Inherited from I25, I25.1
  • tobacco use (Z72.0)Inherited from I25, I25.1
  • code, if applicable, to identify:Inherited from I25, I25.1
  • coronary atherosclerosis due to calcified coronary lesion (I25.84)Inherited from I25, I25.1
  • coronary atherosclerosis due to lipid rich plaque (I25.83)Inherited from I25, I25.1

Code Also

Official
  • the presence of hypertension (I10-I1A)Inherited from I20-I25

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
I25.11
Description
Atherosclerotic heart disease of native coronary artery with angina pectoris
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

I25.11 is the ICD-10-CM diagnosis code for atherosclerotic heart disease of native coronary artery with angina pectoris. I25.11 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 I25.11 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for I25.11 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

Also searched as

  • I25 11
  • I2511

More on I25.11

Code family

Every I25 code with its CMS-HCC V28 statusChronic ischemic heart disease, 56 billable codes

Related condition guides

Referenced in blog posts

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