I25.762
BillableAtherosclerosis of bypass graft of coronary artery of transplanted heart with refractory 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 bypass graft of a transplanted heart causing severe, treatment-resistant chest pain.
Coding Tips
- •Verify documentation confirms refractory angina status in the context of a transplanted heart
- •Ensure the atherosclerosis is specifically in the bypass graft of the transplanted heart
Clinical Significance
This code captures atherosclerosis in a bypass graft of a coronary artery in a transplanted heart with refractory angina. This represents perhaps the most clinically dire scenario in this code family — a transplant recipient with post-transplant bypass graft disease who has exhausted all conventional angina treatments. Retransplantation or palliative symptom management may be the remaining options.
Documentation Requirements
- ✓Confirmed heart transplant history
- ✓History of CABG after transplantation
- ✓Evidence of atherosclerotic disease in the bypass graft
- ✓Documentation that angina persists despite maximum medical therapy
- ✓Documentation that further revascularization options are exhausted
- ✓Discussion of retransplantation or advanced palliative care
Commonly Confused Codes
I25.752 — Native coronary artery of transplanted heart with refractory angina; native vessel, not graftI25.712 — Autologous vein CABG with refractory angina; non-transplant heartI25.760 — Bypass graft of transplanted heart with unstable angina; acute destabilization, not chronic refractoryI25.768 — Bypass graft of transplanted heart with other forms of angina; characterized angina not meeting refractory criteria
Code Hierarchy
└I25Chronic ischemic heart disease└I25.7Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris└I25.76Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris└I25.762Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris
└I25.762Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris