Diseases of the Circulatory System

ICD-10 Code: I25.10

Atherosclerotic Heart Disease of Native Coronary Artery Without Angina Pectoris

Coronary artery disease without current anginal symptoms.

Clinical Information

CAD/coronary atherosclerosis without active chest pain. Often diagnosed by cardiac cath, stress test, or CT angiography showing stenosis. Used for stable CAD without current symptoms.

Coding Guidelines

  • 1Use for documented CAD without angina
  • 2If angina present, use I25.11x codes
  • 3For history of MI, add I25.2

Common Uses

  • Cardiology follow-up for known CAD, asymptomatic
  • Post-stent/CABG with no angina

Related ICD-10 Codes

I25.110Atherosclerotic heart disease with angina pectoris
I25.2Old myocardial infarction

Documentation Requirements

  • Document 'CAD' or 'coronary artery disease'
  • Note absence of angina
  • Prior cath/imaging findings

Real-World Coding Examples

68-year-old with known 3-vessel CAD, post-CABG 5 years ago, no chest pain. On aspirin, statin, beta-blocker. Diagnosis: Atherosclerotic heart disease (I25.10)

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Medical coding for Diseases of the Circulatory System