ICD Code I25.118

ICD code I25.118 is a classification used to identify atherosclerotic heart disease of the native coronary artery that is accompanied by other forms of angina pectoris. This code is utilized in medical billing and documentation to specify that the patient has coronary artery disease due to atherosclerosis, which is causing chest pain or discomfort (angina) that is not classified as typical angina pectoris.

1. Presence of Atherosclerotic Heart Disease: Confirm the diagnosis of atherosclerotic heart disease affecting the native coronary arteries. This involves identifying the buildup of plaque within the coronary arteries, which can be confirmed through diagnostic imaging or other clinical evaluations.

2. Symptoms of Angina Pectoris: Document the presence of angina pectoris, characterized by chest pain or discomfort. This pain may radiate to the shoulders, arms, neck, jaw, or back and is typically triggered by physical exertion or emotional stress.

3. Exclusion of Myocardial Infarction: Ensure that the symptoms are not indicative of an acute myocardial infarction (heart attack). This involves ruling out any acute coronary syndrome through clinical assessment and diagnostic tests such as ECG or cardiac biomarkers.

4. Identification of Other Forms of Angina: Identify and document any other forms of angina pectoris that are present, such as variant angina (Prinzmetal's angina) or microvascular angina, which may have different triggers or characteristics compared to stable angina.

5. Chronic Condition Confirmation: Establish that the condition is chronic and not a result of an acute event. This involves a thorough review of the patient's medical history and ongoing symptoms.

6. Exclusion of Other Cardiac Conditions: Rule out other cardiac conditions that may mimic the symptoms of angina, such as pericarditis or aortic dissection, through appropriate diagnostic evaluations.

7. Consideration of Risk Factors: Evaluate the presence of risk factors that may contribute to atherosclerosis, such as hypertension, hyperlipidemia, diabetes, smoking, and family history of coronary artery disease.

8. Response to Treatment: Assess the patient's response to anti-anginal medications or lifestyle modifications, which can help confirm the diagnosis if symptoms improve with treatment.

By following these diagnostic criteria, healthcare providers can accurately determine when to use the ICD code for atherosclerotic heart disease of the native coronary artery with other forms of angina pectoris.

For the ICD code I25.118, which pertains to atherosclerotic heart disease of native coronary artery with other forms of angina pectoris, the relevant CPT codes that may be applicable include:

1. 92920 - Percutaneous transluminal coronary angioplasty; single major coronary artery or branch.

2. 92928 - Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch.

3. 93454 - Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injections for coronary angiography, imaging supervision and interpretation.

4. 93571 - Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft).

5. 93572 - Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft); each additional vessel or graft.

These CPT codes are typically used for procedures and interventions related to the treatment and management of coronary artery disease and associated conditions. It is important for healthcare providers to select the appropriate CPT code based on the specific procedures performed and the clinical scenario.

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