I25.769
BillableAtherosclerosis of bypass graft of coronary artery of transplanted heart 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 a bypass graft in a transplanted heart's coronary artery with unspecified chest pain.
Coding Tips
- •Use this code only when the type of angina is not documented or specified
- •Confirm transplant status and that the atherosclerosis involves the bypass graft, not native vessels
Clinical Significance
This code represents atherosclerosis in a bypass graft of a coronary artery in a transplanted heart with angina where the specific type is not documented. Given the extreme clinical complexity of this patient population, the unspecified angina designation represents a significant documentation gap that should trigger provider query. These patients require the most precise coding possible to reflect their true clinical burden.
Documentation Requirements
- ✓Confirmed heart transplant history with subsequent CABG
- ✓Evidence of atherosclerotic disease in the bypass graft
- ✓Angina symptoms present but type not specified
- ✓Provider query attempted for angina characterization
- ✓Comprehensive treatment plan addressing transplant, graft disease, and anginal symptoms
Commonly Confused Codes
I25.760 — Bypass graft of transplanted heart with unstable angina; more specific when unstable documentedI25.768 — Bypass graft of transplanted heart with other forms of angina; use when angina is characterizedI25.812 — Bypass graft of transplanted heart atherosclerosis without angina; no angina presentI25.759 — Native coronary artery of transplanted heart 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└I25.76Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris└I25.769Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris
└I25.769Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris