Chronic ischemic heart disease I25- >

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Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify:
  • chronic total occlusion of coronary artery (
    ICD-10-CM Diagnosis Code I25.82

    Chronic total occlusion of coronary artery

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Complete occlusion of coronary artery
    • Total occlusion of coronary artery
    Code First
    Type 1 Excludes
    • acute coronary occlusion with myocardial infarction (I21.0-I21.9, I22.-)
    • acute coronary occlusion without myocardial infarction (I24.0)
    I25.82
    )
  • exposure to environmental tobacco smoke (
    ICD-10-CM Diagnosis Code Z77.22

    Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Exposure to second hand tobacco smoke (acute) (chronic)
    • Passive smoking (acute) (chronic)
    Type 1 Excludes
    Type 2 Excludes
    • occupational exposure to environmental tobacco smoke (Z57.31)
    Z77.22
    )
  • history of tobacco dependence (
    ICD-10-CM Diagnosis Code Z87.891

    Personal history of nicotine dependence

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Type 1 Excludes
    • current nicotine dependence (F17.2-)
    Z87.891
    )
  • occupational exposure to environmental tobacco smoke (
    ICD-10-CM Diagnosis Code Z57.31

    Occupational exposure to environmental tobacco smoke

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Type 2 Excludes
    • exposure to environmental tobacco smoke (Z77.22)
    Z57.31
    )
  • tobacco dependence (
    ICD-10-CM Diagnosis Code F17
    • F17 Nicotine dependence
      • F17.2 Nicotine dependence
        • F17.20 Nicotine dependence, unspecified
          • F17.200 Nicotine dependence, unspecified, uncomplicat...
          • F17.201 Nicotine dependence, unspecified, in remissio...
          • F17.203 Nicotine dependence unspecified, with withdra...
          • F17.208 Nicotine dependence, unspecified, with other ...
          • F17.209 Nicotine dependence, unspecified, with unspec...
        • F17.21 Nicotine dependence, cigarettes
          • F17.210 Nicotine dependence, cigarettes, uncomplicate...
          • F17.211 Nicotine dependence, cigarettes, in remission...
          • F17.213 Nicotine dependence, cigarettes, with withdra...
          • F17.218 Nicotine dependence, cigarettes, with other n...
          • F17.219 Nicotine dependence, cigarettes, with unspeci...
        • F17.22 Nicotine dependence, chewing tobacco
          • F17.220 Nicotine dependence, chewing tobacco, uncompl...
          • F17.221 Nicotine dependence, chewing tobacco, in remi...
          • F17.223 Nicotine dependence, chewing tobacco, with wi...
          • F17.228 Nicotine dependence, chewing tobacco, with ot...
          • F17.229 Nicotine dependence, chewing tobacco, with un...
        • F17.29 Nicotine dependence, other tobacco product
          • F17.290 Nicotine dependence, other tobacco product, u...
          • F17.291 Nicotine dependence, other tobacco product, i...
          • F17.293 Nicotine dependence, other tobacco product, w...
          • F17.298 Nicotine dependence, other tobacco product, w...
          • F17.299 Nicotine dependence, other tobacco product, w...
    F17.-
    )
  • tobacco use (
    ICD-10-CM Diagnosis Code Z72.0

    Tobacco use

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Tobacco use NOS
    Type 1 Excludes
    • history of tobacco dependence (Z87.891)
    • nicotine dependence (F17.2-)
    • tobacco dependence (F17.2-)
    • tobacco use during pregnancy (O99.33-)
    Z72.0
    )
Codes
  • I25 Chronic ischemic heart disease
    • I25.1 Atherosclerotic heart disease of native coronary artery
      • I25.10 …… without angina pectoris
      • I25.11 Atherosclerotic heart disease of native coronary artery with angina pectoris
        • I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
        • I25.111 …… with documented spasm
        • I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
        • I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
    • I25.2 Old myocardial infarction
    • I25.3 Aneurysm of heart
    • I25.4 Coronary artery aneurysm and dissection
      • I25.41 Coronary artery aneurysm
      • I25.42 Coronary artery dissection
    • I25.5 Ischemic cardiomyopathy
    • I25.6 Silent myocardial ischemia
    • I25.7 Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris
      • I25.70 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris
        • I25.700 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris
        • I25.701 …… with documented spasm
        • I25.708 Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris
        • I25.709 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris
      • I25.71 Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris
        • I25.710 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
        • I25.711 …… with documented spasm
        • I25.718 Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
        • I25.719 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris
      • I25.72 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris
        • I25.720 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
        • I25.721 …… with documented spasm
        • I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
        • I25.729 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris
      • I25.73 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris
        • I25.730 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
        • I25.731 …… with documented spasm
        • I25.738 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
        • I25.739 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris
      • I25.75 Atherosclerosis of native coronary artery of transplanted heart with angina pectoris
        • I25.750 Atherosclerosis of native coronary artery of transplanted heart with unstable angina
        • I25.751 …… with documented spasm
        • I25.758 Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris
        • I25.759 Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris
      • I25.76 Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris
        • I25.760 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
        • I25.761 …… with documented spasm
        • I25.768 Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
        • I25.769 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris
      • I25.79 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris
        • I25.790 Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
        • I25.791 …… with documented spasm
        • I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
        • I25.799 Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris
    • I25.8 Other forms of chronic ischemic heart disease
      • I25.81 Atherosclerosis of other coronary vessels without angina pectoris
        • I25.810 Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
        • I25.811 Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
        • I25.812 Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris
      • I25.82 Chronic total occlusion of coronary artery
      • I25.83 Coronary atherosclerosis due to lipid rich plaque
      • I25.84 Coronary atherosclerosis due to calcified coronary lesion
      • I25.89 Other forms of chronic ischemic heart disease
    • I25.9 Chronic ischemic heart disease, unspecified