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2025 ICD-10-CM code I25.10

Atherosclerotic heart disease of native coronary artery without angina pectoris.

Use additional codes to identify any associated conditions, such as hypertension (I10-I1A) or abnormal lipid levels (E78.-).

The medical necessity for diagnostic testing and treatment is based on the presence of atherosclerosis in the coronary arteries, even in the absence of angina, as it signifies an increased risk of future cardiac events.

Diagnosis and management of atherosclerotic heart disease.

In simple words: This code indicates coronary artery disease due to plaque buildup, but without chest pain.

Atherosclerotic heart disease of native coronary artery without angina pectoris. This code specifies that the patient has atherosclerotic heart disease affecting the native coronary arteries, but they do not experience angina pectoris (chest pain).

Example 1: A patient with a history of high cholesterol and family history of heart disease undergoes a cardiac evaluation, which reveals the presence of atherosclerosis in the native coronary arteries but no angina symptoms. I25.10 is used to document this condition., During a routine check-up, a patient's EKG shows abnormalities suggestive of coronary artery disease. Further testing reveals atherosclerosis in the native coronary arteries. The patient is asymptomatic and denies chest pain or other angina symptoms. The diagnosis is documented using I25.10., A patient with risk factors for coronary artery disease undergoes a coronary calcium scan, which shows significant calcification. Subsequent angiography confirms atherosclerosis in the native coronary arteries. Despite the evidence of atherosclerosis, the patient does not report angina pectoris. I25.10 is used to code the diagnosis.

Documentation should include evidence of atherosclerosis in the native coronary arteries (e.g., angiography, cardiac imaging), along with the absence of angina symptoms.

** For accurate code assignment, make sure to check the ICD-10-CM guidelines and confirm with iFrameAI.

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