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I25.76 vs T86.290

I25.76 (Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris) compared with T86.290 (Cardiac allograft vasculopathy), 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. T86.290 carries an Excludes1 note covering I25.76: “atherosclerosis of coronary arteries (I25.75-, I25.76-, I25.81-)”

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

I25.76Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectorisT86.290Cardiac allograft vasculopathy
Billing statusNon-billable header

Report instead: I25.760, I25.761, I25.762, I25.768, I25.769

Billable
ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionAtherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris is a non-billable ICD-10-CM category code (I25.76).Cardiac allograft vasculopathy is a billable ICD-10-CM diagnosis code (T86.290).
Use additional code
code, if applicable, to identify:
coronary atherosclerosis due to calcified coronary lesion (I25.84)
coronary atherosclerosis due to lipid rich plaque (I25.83)
code to identify other transplant complications, such as:
graft-versus-host disease (D89.81-)
malignancy associated with organ transplant (C80.2)

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