I25.118
BillableAtherosclerotic heart disease of native coronary artery with other forms of angina pectoris
HCC Category Mapping
V24HCC 88 — Angina Pectoris
0.000ESRDHCC 88 — Angina Pectoris
0.000RxHCCHCC 188 — Coronary Artery Disease and Angina
0.000What This Code Means
Narrowing of heart arteries causing chest pain with characteristics that don't fit the standard angina patterns.
Coding Tips
- •Use this code for atypical presentations such as angina equivalent symptoms or unstable angina patterns
- •Document the specific type of angina presentation to support medical necessity
Clinical Significance
This code captures atherosclerotic heart disease of native coronary arteries with angina presentations that do not fit the standard classifications of unstable, vasospastic, or refractory angina. This may include atypical angina equivalents such as exertional dyspnea, nocturnal angina, or other variant presentations. Proper capture ensures that the anginal component of the disease is coded alongside the underlying coronary artery disease.
Documentation Requirements
- ✓Documentation of coronary artery disease involving native vessels
- ✓Description of the specific angina presentation that does not fit unstable, vasospastic, or refractory categories
- ✓Clinical characteristics of the anginal episodes
- ✓Diagnostic evidence supporting ischemia
- ✓Treatment plan
Excludes 1 — Do NOT code together
- other forms of angina pectoris without atherosclerotic heart disease (I20.8-)
Commonly Confused Codes
I25.110 — Same condition with unstable angina: for angina with crescendo pattern or new onset at restI25.111 — Same condition with documented spasm: for confirmed vasospastic anginaI25.112 — Same condition with refractory angina: for angina failing maximal medical therapyI25.119 — Same condition with unspecified angina: when the angina type cannot be determined at all
Code Hierarchy
└I25Chronic ischemic heart disease└I25.1Atherosclerotic heart disease of native coronary artery└I25.11Atherosclerotic heart disease of native coronary artery with angina pectoris└I25.118Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
└I25.118Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris