I25.119
BillableAtherosclerotic heart disease of native coronary artery with unspecified 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, but the specific type or pattern of the chest pain is not specified in the documentation.
Coding Tips
- •This is a default code when angina is present but the specific subtype cannot be determined from documentation
- •Query the provider if more specific angina classification is available to allow for more precise coding
Clinical Significance
Atherosclerotic heart disease of native coronary artery with unspecified angina is used when coronary artery disease is confirmed and angina is present but the specific type of angina cannot be determined from documentation. While it captures HCC 88, it represents a documentation improvement opportunity — querying the provider for angina subtype could potentially capture unstable angina (HCC 87) if present.
Documentation Requirements
- ✓Documentation of coronary artery disease involving native vessels
- ✓Documentation that angina is present
- ✓Evidence that the specific angina type cannot be determined from available records
- ✓Clinical context supporting the anginal diagnosis
Excludes 1 — Do NOT code together
- unspecified angina pectoris without atherosclerotic heart disease (I20.9)
Commonly Confused Codes
I25.110 — Same condition with unstable angina: higher specificity and higher HCC valueI25.10 — Same condition without angina: if angina is not documented, this code has no HCC valueI20.9 — Angina pectoris, unspecified: for unspecified angina without documented coronary artery diseaseI25.111-I25.118 — Specific angina subtypes with coronary artery disease: preferred when the angina type is identifiable
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└I25.119Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
└I25.119Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris