ICD Code I25.119

ICD code I25.119 is a classification used to identify atherosclerotic heart disease of the native coronary artery accompanied by unspecified angina pectoris. This code is utilized in medical billing and documentation to indicate that a patient has coronary artery disease due to the buildup of plaque in the coronary arteries, which supply blood to the heart muscle, and is experiencing chest pain or discomfort, although the specific type of angina is not detailed.

1. Presence of Atherosclerotic Heart Disease: The patient must have a confirmed diagnosis of atherosclerotic heart disease affecting the native coronary arteries. This involves the buildup of plaque within the coronary arteries, leading to narrowed or blocked arteries.

2. Coronary Artery Involvement: The condition specifically affects the native coronary arteries, which are the original arteries present in the heart, as opposed to grafts or bypasses.

3. Symptoms of Angina Pectoris: The patient experiences symptoms indicative of angina pectoris, which may include chest pain or discomfort, often described as squeezing, pressure, heaviness, or tightness in the chest.

4. Unspecified Angina Pectoris: The angina pectoris is unspecified, meaning that the specific type or pattern of angina (such as stable, unstable, or variant) has not been determined or documented.

5. Exclusion of Other Conditions: Other potential causes of chest pain or coronary artery disease must be ruled out to confirm that the symptoms are due to atherosclerotic heart disease of the native coronary artery.

6. Clinical Evaluation and Testing: The diagnosis should be supported by clinical evaluation, which may include patient history, physical examination, and diagnostic tests such as electrocardiograms (ECG), stress tests, or coronary angiography.

7. Documentation in Medical Records: The diagnosis and associated symptoms must be thoroughly documented in the patient's medical records to ensure accurate coding and billing.

For the ICD code I25.119, which pertains to atherosclerotic heart disease of native coronary artery with unspecified angina pectoris, the relevant CPT codes that may be applicable for treatment 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 - Catheterization of the coronary arteries for coronary angiography, including 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.

6. 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report.

7. 93015 - Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report.

These CPT codes are examples of procedures that may be performed in the management and treatment of conditions associated with ICD code I25.119. It is important for healthcare providers to select the appropriate CPT codes based on the specific procedures performed and the clinical scenario.

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