I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris

I25.10 is the ICD-10-CM diagnosis code for Atherosclerotic heart disease of native coronary artery without angina pectoris. It belongs to category I25 (chronic ischemic heart disease), block I20-I25 (ischemic heart diseases) and chapter 9 (diseases of the circulatory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within I25.1, choose I25.10 (without angina pectoris) only when documentation doesn't support a more specific option: with angina pectoris (I25.11).

Use an additional 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.-) and 1 more.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 302 (Atherosclerosis with MCC, relative weight 1.1984) and DRG 303 (Atherosclerosis without MCC, relative weight 0.6612), in MDC 05 (Diseases and Disorders of the Circulatory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

The Medicare Code Editor expects this diagnosis only for patients age 15 through 124.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 414.01 (coronary atherosclerosis of native coronary artery) and 429.2 (cardiovascular disease, unspecified).