I25.718
BillableAtherosclerosis of autologous vein coronary artery bypass graft(s) 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
Plaque buildup in a vein bypass graft causing chest pain of a type other than unstable, spasm-related, or refractory angina.
Coding Tips
- •Use when the angina type is documented but does not fit codes .710, .711, or .712
- •Ensure the specific angina presentation is clearly documented in the medical record
Clinical Significance
This code captures atherosclerosis of an autologous vein coronary bypass graft with angina presentations that do not fit the specific categories of unstable, vasospastic, or refractory angina. This may include stable exertional angina (Canadian Cardiovascular Society classes), microvascular angina, or angina equivalent symptoms. Proper characterization of the angina type guides treatment optimization for these complex post-surgical patients.
Documentation Requirements
- ✓History of CABG with autologous vein graft confirmed
- ✓Evidence of atherosclerotic disease in the vein graft
- ✓Documentation of the angina pattern that does not meet criteria for unstable, spasm-related, or refractory angina
- ✓Functional classification of angina severity if applicable (e.g., Canadian Cardiovascular Society class)
- ✓Relationship between angina symptoms and the atherosclerotic graft disease established by provider
Excludes 1 — Do NOT code together
- other forms of angina pectoris without atherosclerosis of autologous vein coronary artery bypass graft(s) (I20.8-)
Commonly Confused Codes
I25.710 — Autologous vein CABG with unstable angina; requires documentation of unstable patternI25.711 — Autologous vein CABG with documented spasm; requires vasospasm documentationI25.719 — Autologous vein CABG with unspecified angina; use .718 when angina type is documented but doesn't fit 710-712I25.119 — Native coronary artery atherosclerosis with unspecified angina; native vessel, not graft
Code Hierarchy
└I25Chronic ischemic heart disease└I25.7Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris└I25.71Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris└I25.718Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
└I25.718Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris