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I20 vs I25.7

I20 (Angina pectoris) compared with I25.7 (Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. I20 carries an Excludes1 note covering I25.7: “atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris (I25.7-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

I20Angina pectorisI25.7Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris
Billing statusNon-billable header

Report instead: I20.0, I20.1, I20.2, I20.81, I20.89

Non-billable header

Report instead: I25.700, I25.701, I25.702, I25.708, I25.709

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)I00-I99 — Diseases of the Circulatory System (I00-I99)
DefinitionAngina pectoris is a non-billable ICD-10-CM category code (I20).Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris is a non-billable ICD-10-CM category code (I25.7).
Use additional code
code to identify:
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)
code, if applicable, to identify:
coronary atherosclerosis due to calcified coronary lesion (I25.84)
coronary atherosclerosis due to lipid rich plaque (I25.83)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources