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2025 ICD-10-CM code I25.812

Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris.

Code I25.812 should be used when there is documented evidence of atherosclerosis affecting the bypass graft of a transplanted heart in the absence of angina. If angina is present, use I25.76.Additionally, code any associated conditions like hypertension (I10-I1A) and tobacco use (Z72.0).

Medical necessity for intervention is determined by the severity of the atherosclerosis, the presence of related symptoms (even without angina), and the potential for future cardiac events.The clinical judgment of the cardiologist or transplant specialist plays a crucial role in determining appropriate treatment.

Diagnosis and management of this condition falls under the purview of cardiology, cardiothoracic surgery, and transplant medicine. Clinicians are responsible for accurate diagnosis based on relevant diagnostic tests (angiography, stress tests), managing risk factors, and implementing treatment strategies like medication or further interventions.

In simple words: Narrowing of the arteries supplying blood to a heart bypass graft in a heart transplant patient, without chest pain.

Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris. This code specifies the presence of atherosclerosis in a coronary artery bypass graft in a patient with a transplanted heart, where angina pectoris (chest pain) is not present.

Example 1: A patient with a previous heart transplant who underwent coronary artery bypass grafting presents for a follow-up appointment. Diagnostic imaging reveals atherosclerosis in the bypass graft, but the patient reports no chest pain., A heart transplant recipient experiences shortness of breath during exercise. Angiography shows atherosclerotic narrowing of a bypass graft, but the patient denies any angina., During a routine check-up, a patient with a transplanted heart and prior bypass surgery is found to have asymptomatic atherosclerosis in the bypass graft based on imaging studies.

Documentation should include details of the heart transplant, bypass surgery, diagnostic findings confirming atherosclerosis in the bypass graft (e.g., angiography, stress test results), and the absence of angina pectoris. Patient history, including any symptoms like shortness of breath, should also be documented.

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