I25.768
BillableAtherosclerosis of bypass graft of coronary artery of transplanted heart 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 a bypass graft in a transplanted heart's coronary artery causing various types of chest pain.
Coding Tips
- •This code is specific to transplanted hearts; verify transplant status in documentation
- •The 'other forms of angina' requires documentation of the specific angina type beyond unstable, spasm, or refractory
Clinical Significance
This code identifies atherosclerosis in a bypass graft of a coronary artery in a transplanted heart with angina that is documented but does not fit the unstable, vasospastic, or refractory subcategories. In this complex clinical scenario, even stable angina warrants aggressive monitoring given the limited remaining revascularization options in transplant recipients with graft disease.
Documentation Requirements
- ✓Confirmed heart transplant history with subsequent CABG
- ✓Evidence of atherosclerosis in the bypass graft of the transplanted heart
- ✓Angina documented and characterized but not meeting criteria for unstable, vasospastic, or refractory
- ✓Surveillance plan for graft and transplant coronary disease
- ✓Integrated management plan addressing transplant, graft disease, and angina
Commonly Confused Codes
I25.760 — Bypass graft of transplanted heart with unstable angina; requires unstable documentationI25.761 — Bypass graft of transplanted heart with documented spasm; requires vasospasm confirmationI25.769 — Bypass graft of transplanted heart with unspecified angina; angina type not documentedI25.758 — Native coronary artery of transplanted heart with other 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└I25.76Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris└I25.768Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
└I25.768Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris