I25.719
BillableAtherosclerosis of autologous vein coronary artery bypass graft(s) 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
Plaque narrowing in a vein bypass graft causing chest pain, but the specific type of angina is not documented.
Coding Tips
- •This is the default code when autologous vein graft atherosclerosis with angina is present but type is unspecified
- •Attempt to query the provider for angina type classification to enable more specific coding
Clinical Significance
This code represents atherosclerosis of an autologous vein coronary bypass graft with angina where the specific type of angina is not documented. While it captures the important clinical finding of graft disease with ischemic symptoms, the unspecified angina designation indicates a documentation gap. Provider query should be pursued to determine the angina pattern for more accurate coding and clinical risk stratification.
Documentation Requirements
- ✓History of CABG with autologous vein graft (saphenous vein) specified
- ✓Evidence of atherosclerotic disease within the vein bypass graft
- ✓Documentation of angina symptoms — even if the specific type is unclear
- ✓Attempt to query provider for angina characterization before defaulting to unspecified
- ✓Treatment plan addressing both graft disease and anginal symptoms
Excludes 1 — Do NOT code together
- unspecified angina pectoris without atherosclerosis of autologous vein coronary artery bypass graft(s) (I20.9)
Commonly Confused Codes
I25.710 — Autologous vein CABG with unstable angina; more specific when unstable pattern is documentedI25.718 — Autologous vein CABG with other forms of angina; use when angina type is documented but not unstable/spasm/refractoryI25.709 — CABG atherosclerosis with unspecified angina, graft unspecified; even less specific on both graft and anginaI25.810 — CABG atherosclerosis without angina; when there is no angina component
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└I25.719Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris
└I25.719Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris