2025 ICD-10-CM code I25.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiovascular Disease - Ischemic heart diseases Diseases of the circulatory system (I00-I99) Feed
Old myocardial infarction; healed myocardial infarction with no current symptoms.
Modifiers may be applicable depending on the circumstances of the visit and the services provided.Consult the appropriate modifier guidelines.
Medical necessity for this code is established by documentation confirming a prior MI and the absence of current symptoms. The focus of the encounter is not on management of acute MI symptoms.
The clinical responsibility involves the physician's assessment of the patient's medical history, review of past ECGs or other diagnostic tests showing evidence of a previous MI, and confirmation that the patient is currently asymptomatic.The physician must document the absence of current symptoms related to the prior MI.
In simple words: This code means the person had a heart attack in the past, but their heart is healed now, and they don't have any heart attack symptoms at the moment.
This code, I25.2, signifies an old myocardial infarction (MI), also known as a healed heart attack.It applies to cases where a past MI has been diagnosed via electrocardiogram (ECG) or other investigative methods, but the patient currently exhibits no symptoms. The diagnosis is based on evidence of a previous MI, not on current symptoms.
Example 1: A 65-year-old male patient presents for a routine physical.His medical history reveals a previous MI five years ago, confirmed by ECG.He currently reports no chest pain, shortness of breath, or other cardiac symptoms.I25.2 is coded., A 72-year-old female patient is admitted for a hip replacement. Pre-operative cardiac testing reveals old Q waves on ECG consistent with a past MI.The patient reports no current cardiac issues.I25.2 is coded., A 50-year-old male patient is seen for follow-up after a previous MI diagnosed six months ago. He is currently asymptomatic and on stable medication. While the MI is recent, if the patient is no longer experiencing acute symptoms and the treatment focus is not on the acute MI, I25.2 might be used depending on the clinical scenario and physician's documentation. Note: Further clarification from a coding specialist or iFrameAI may be necessary.
* Thorough patient history including previous MI diagnosis.* Evidence of previous MI (e.g., ECG, cardiac enzyme results, prior medical records).* Documentation confirming the absence of current symptoms related to the previous MI.
** This code is for a healed MI, without current symptoms.If the patient is experiencing symptoms related to the previous MI, a different code would be necessary.Always refer to the most current ICD-10-CM coding guidelines for the most accurate coding practices.
- Payment Status: Active
- Modifier TC rule: Not applicable to I25.2.
- Specialties:Cardiology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Other Place of Service