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I25.702 ICD-10-CM Code: Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Risk adjustment
CMS-HCC V22 category 88 · RxHCC V08 category 188

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I25.702 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on I25.702 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from I25.7

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from I25

Code Also

Additional codes that may be required to fully describe the encounter.

  • the presence of hypertension (I10-I1A)

Source: inherited from I20-I25

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code, if applicable, to identify:
  • coronary atherosclerosis due to calcified coronary lesion (I25.84) inherited from I25.7
  • coronary atherosclerosis due to lipid rich plaque (I25.83) inherited from I25.7
  • Use additional code to identify:
  • chronic total occlusion of coronary artery (I25.82) inherited from I25
  • exposure to environmental tobacco smoke (Z77.22) inherited from I25
  • history of tobacco dependence (Z87.891) inherited from I25
  • occupational exposure to environmental tobacco smoke (Z57.31) inherited from I25
  • tobacco dependence (F17.-) inherited from I25
  • tobacco use (Z72.0) inherited from I25

Coder workflow for I25.702

MedCoder structured workflow — derived from this code’s own official record

Before you code I25.702

  1. Unspecified does not mean incorrect. When the record gives no greater specificity, I25.702 may be the appropriate code. Check the record for detail that supports a more specific sibling — in this subcategory the siblings differ by the presence or absence of the associated condition. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. I25.702’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I25.702. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the record document the detail a more specific sibling code needs?
    Yes → Review the specific siblings in this subcategory.
    No → Continue — I25.702 is appropriate when the documentation goes no further.
  2. Does the documentation support a condition named in I25.702’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewI25.812, I25.810, I25.811

Consider I25.702. Then work the Use Additional Code note and review the Code Also note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting I25.702(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I25.702: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareI25.812, I25.810, I25.811

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of I25.702(1 note)

    Coding workflow: The conditions named in this note are not included in I25.702. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareI5A

    See the official tabular notes · Guidelines I.A.12.b

  • Use Additional Code — after identifying I25.702(10 notes)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with I25.702 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewI25.84, I25.83, I25.82, Z77.22, Z87.891, Z57.31

    See the official tabular notes · Guidelines I.A.13

  • Code Also — related condition(1 note)

    Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

    See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the subcategory for a sibling that names the missing detail.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

Documentation: Both the condition I25.702 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewI25.812, I25.810, I25.811

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is I25.702 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris is a billable ICD-10-CM diagnosis code (I25.702).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 9: Diseases of the Circulatory System (I00 -I99)

b. Atherosclerotic Coronary Artery Disease and Angina ICD-10-CM has combination codes for atherosclerotic heart disease with angina pectoris. The subcategories for these codes are I25.11, Atherosclerotic heart disease of native coronary artery with angina pectoris and I25.7, Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 10 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  2. 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
  3. 3 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  4. 1 Excludes2 entry — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • Age-restricted: the Medicare Code Editor lists this as an adult (age 15-124) diagnosis; other ages are presumed incorrect.
  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name I25.702 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: I20 — Angina pectoris (via I25.7.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 4 Excludes2 notes: I25.1 — Atherosclerotic heart disease of native coronary artery (via I25.7.-), I25.5 — Ischemic cardiomyopathy (via I25.7.-), I74 — Arterial embolism and thrombosis (via I25.-), I82 — Other venous embolism and thrombosis (via I25.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 3 Code First instructions: I25.82 — Chronic total occlusion of coronary artery (via I25.7.-), I25.83 — Coronary atherosclerosis due to lipid rich plaque (via I25.7.-), I25.84 — Coronary atherosclerosis due to calcified coronary lesion (via I25.7.-).

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 82 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 2 MS-DRGs: DRG 302 (MDC 05), DRG 303 (MDC 05).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):CIR011 — Coronary atherosclerosis and other heart disease (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

I24.9 — Acute ischemic heart disease, unspecified, I25.10 — Atherosclerotic heart disease of native coronary artery without angina pectoris, I25.110 — Atherosclerotic heart disease of native coronary artery with unstable angina pectoris, I25.111 — Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm, I25.112 — Atherosclerotic heart disease of native coronary artery with refractory angina pectoris, I25.118 — Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris, I25.119 — Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris, I25.5 — Ischemic cardiomyopathy, I25.6 — Silent myocardial ischemia, I25.701 — Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm, I25.708 — Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris, I25.709 — Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris, I25.710 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris, I25.711 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm, I25.712 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris, I25.718 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris, I25.719 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris, I25.720 — Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris, I25.721 — Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm, I25.722 — Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris, +61 more

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Coronary atherosclerosis and other heart disease).

I25.110 — Atherosclerotic heart disease of native coronary artery with unstable angina pectoris, I25.111 — Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm, I25.112 — Atherosclerotic heart disease of native coronary artery with refractory angina pectoris, I25.118 — Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris, I25.119 — Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris, I25.2 — Old myocardial infarction, I25.5 — Ischemic cardiomyopathy, I25.6 — Silent myocardial ischemia, I25.700 — Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris, I25.701 — Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm, I25.708 — Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris, I25.709 — Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris, I25.710 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris, I25.711 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm, I25.712 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris, I25.718 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris, I25.719 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris, I25.720 — Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris, I25.721 — Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm, I25.722 — Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris, +47 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Arteriosclerosis, arteriosclerotic”; these codes share that main term but sit in a different category of the Tabular List.

G95.19 — Other vascular myelopathies (spinal), I27.0 — Primary pulmonary hypertension (pulmonary), I51.4 — Myocarditis, unspecified (myocarditis), I65.2 — Occlusion and stenosis of carotid artery (carotid), I67.2 — Cerebral atherosclerosis (brain), I70.0 — Atherosclerosis of aorta (aorta), I70.1 — Atherosclerosis of renal artery (renal, artery), I70.201 — Unspecified atherosclerosis of native arteries of extremities, right leg (extremities, leg, right), I70.202 — Unspecified atherosclerosis of native arteries of extremities, left leg (extremities, leg, left), I70.203 — Unspecified atherosclerosis of native arteries of extremities, bilateral legs (extremities, leg, bilateral), I70.208 — Unspecified atherosclerosis of native arteries of extremities, other extremity (extremities, specified site NEC), I70.209 — Unspecified atherosclerosis of native arteries of extremities, unspecified extremity (extremities), I70.211 — Atherosclerosis of native arteries of extremities with intermittent claudication, right leg (extremities, leg, right, with, intermittent claudication), I70.212 — Atherosclerosis of native arteries of extremities with intermittent claudication, left leg (extremities, leg, left, with, intermittent claudication), I70.213 — Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs (extremities, leg, bilateral, with, intermittent claudication), I70.218 — Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity (extremities, specified site NEC, with, intermittent claudication), I70.219 — Atherosclerosis of native arteries of extremities with intermittent claudication, unspecified extremity (extremities, leg, with, intermittent claudication), I70.221 — Atherosclerosis of native arteries of extremities with rest pain, right leg (with, critical limb ischemia, leg, right), I70.222 — Atherosclerosis of native arteries of extremities with rest pain, left leg (with, critical limb ischemia, leg, left), I70.223 — Atherosclerosis of native arteries of extremities with rest pain, bilateral legs (extremities, leg, bilateral, with, rest pain), +231 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Blood Glucose Test, Lipid Panel, Prothrombin Time Test and INR (PT/INR)

Contextual Map

Every relationship of I25.702 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run I25.702 with these 8 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

  • I20 — Angina pectoris[Excludes1](via I25.7.-): “atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris (I25.7-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Excludes2 notes

Referenced by Code First instructions

Clinical classification (CCSR)

MS-DRG Grouper

  • CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
  • DRG 302 — ATHEROSCLEROSIS WITH MCC[MS-DRG]: “ATHEROSCLEROSIS WITH MCC (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • DRG 303 — ATHEROSCLEROSIS WITHOUT MCC[MS-DRG]: “ATHEROSCLEROSIS WITHOUT MCC (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026

MDC crossing

  • MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 17,209 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification), coronary (artery), bypass graft, with, angina pectoris, refractory[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (40)

Change history

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

  • FY2023 — October 1, 2022
    Added to the code set
    Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris
    FY2023 changes

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I25.702 in its code family, with their registry titles.

View all codes in the I25 family