I25 Chronic ischemic heart disease

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Chronic ischemic heart disease is I25 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
I20-I25: Ischemic heart diseases (I20-I25)
Category I25
70 codes (56 billable)
FY2026 Status
Stable since FY2024
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • non-ischemic myocardial injury (I5A)
Use Additional Code
  • code to identify:
  • chronic total occlusion of coronary artery (I25.82)
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Official Coding Guidelines

Presumed relationship due to Index term “with”

The classification presumes a causal relationship between hypertension and heart involvement and between hypertension and kidney involvement, as the two conditions are linked by the term “with” in the Alphabetic Index. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.9.a
Provider must link conditions not specifically indexed as related

For hypertension and conditions not specifically linked by relational terms such as “with,” “associated with” or “due to” in the classification, provider documentation must link the conditions in order to code them as related.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.9.a

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

More Specific Codes

I25.1 Atherosclerotic heart disease of native coronary artery I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris I25.11 Atherosclerotic heart disease of native coronary artery with 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 I25.2 Old myocardial infarction I25.3 Aneurysm of heart I25.4 Coronary artery aneurysm and dissection I25.41 Coronary artery aneurysm I25.42 Coronary artery dissection I25.5 Ischemic cardiomyopathy I25.6 Silent myocardial ischemia I25.7 Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris I25.70 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris 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 I25.702 Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris 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 I25.71 Atherosclerosis of autologous vein coronary artery bypass graft(s) with 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 I25.72 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris I25.720 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris

Related Codes in I25

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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