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I25.760 vs I5A

I25.760 (Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina) compared with I5A (Non-ischemic myocardial injury (non-traumatic)), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

These codes can be reported together when both conditions are documented, because I25.760 lists I5A under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named.I25.760 is “Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina”; I5A is “Non-ischemic myocardial injury (non-traumatic)”.

Registry fact

Can these codes be reported together?

Yes, when both are documented.I25.760 lists I5A under Excludes2: “non-ischemic myocardial injury (I5A)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. I25.760 carries 4 Excludes1 notes and I5A carries 2 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.I25.760’s tabular entry: “non-ischemic myocardial injury (I5A)”. The note covers I5A.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

No.Both are billable codes, and neither contains the other.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

I25.760
Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
↔
I5A
Non-ischemic myocardial injury (non-traumatic)

What we found

Yes, when both are documented.I25.760 carries an Excludes2 note covering I5A: “non-ischemic myocardial injury (I5A)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2027

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
I25.760

Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina

I5A

Non-ischemic myocardial injury (non-traumatic)

StatusSame for both
Billable
Excludes1Differs
I25.760
  • atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris (I25.812)
  • atherosclerosis of bypass graft(s) of transplanted heart without angina pectoris (I25.812)
  • atherosclerosis of coronary artery bypass graft(s) without angina pectoris (I25.810)
  • atherosclerosis of native coronary artery of transplanted heart without angina pectoris (I25.811)
I5A
  • acute myocardial infarction (I21.-)
  • injury of heart (S26.-)
Excludes2Differs
I25.760
  • non-ischemic myocardial injury (I5A)
I5A
  • other acute ischemic heart diseases (I24.-)
Code firstDiffers
I25.760

None at this code

I5A
  • the underlying cause, if known and applicable, such as:
  • acute kidney failure (N17.-)
Use additional codeDiffers
I25.760
  • code, if applicable, to identify:
  • coronary atherosclerosis due to calcified coronary lesion (I25.84)
  • coronary atherosclerosis due to lipid rich plaque (I25.83)
I5A

None at this code

Code alsoDiffers
I25.760
  • the presence of hypertension (I10-I1A)
I5A

None at this code

CategoryDiffers
I25.760

I25 Chronic ischemic heart disease

I5A

Is itself a category

ChapterSame for both

I00-I99 — Diseases of the Circulatory System (I00-I99)

IncludesDiffers
I25.760

None at this code

I5A
  • Acute (non-ischemic) myocardial injury
  • Chronic (non-ischemic) myocardial injury
  • Unspecified (non-ischemic) myocardial injury

No 7th character note at either code.

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, notes every code shares are dimmed.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources