ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I25.3

Billable / Specific CC

Aneurysm of heart

I25
Block
2
Synonyms
487
LCDs
29
Payer Policies
75
Linked CPTs

About ICD-10-CM I25.3

ICD-10-CM code I25.3 represents Aneurysm of heart. This is a billable/specific code in the Circulatory System chapter (block I25). The 2026 edition of ICD-10-CM I25.3 became effective on October 1, 2025.

Coding Tips for I25.3

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

I25.3 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I25.3. Per CMS ICD-10-CM Tabular 2026.

  • Mural aneurysm
  • Ventricular aneurysm

Inpatient DRG Impact, CC

codes Aneurysm of heart. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for I25.3

Local Coverage Determinations (LCDs) from CMS MACs that list I25.3 as a covered diagnosis.

487 LCDs

Showing top 10 of 487 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93270 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93298 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93225 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93271 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93246 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93272 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93242 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93228 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0938T →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0937T →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I25.3.

29 policies

1 Aetna

Color-Flow Doppler Echocardiography and Myocardial Strain Imaging - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0008

4 Cigna

Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551
Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542
Plasma Brain Natriuretic Peptide in the Outpatient Setting - (0028)
Policy ID: MM_0028
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-52868
Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
Policy ID: ART-56451
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476
Billing and Coding: Cardiovascular Nuclear Medicine
Policy ID: ART-56494

CPT Codes Commonly Billed with I25.3

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

75 linkages
  • 92979 CMS LCD: Billing and Coding: Percutaneous Coronary Interventions CMS LCD
  • C9607 CMS LCD: Billing and Coding: Percutaneous Coronary Interventions CMS LCD
  • C9600 CMS LCD: Billing and Coding: Percutaneous Coronary Interventions CMS LCD
  • 92937 CMS LCD: Billing and Coding: Percutaneous Coronary Interventions CMS LCD
  • 92920 CMS LCD: Billing and Coding: Percutaneous Coronary Interventions CMS LCD
  • C9608 CMS LCD: Billing and Coding: Percutaneous Coronary Interventions CMS LCD
  • 92943 CMS LCD: Billing and Coding: Percutaneous Coronary Interventions CMS LCD
  • C9601 CMS LCD: Billing and Coding: Percutaneous Coronary Interventions CMS LCD
  • 92941 CMS LCD: Billing and Coding: Percutaneous Coronary Interventions CMS LCD
  • 92973 CMS LCD: Billing and Coding: Percutaneous Coronary Interventions CMS LCD

Convert I25.3 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I25.3 41410 10000
I25.3 41419 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 I25.3, Billing FAQ

Is ICD-10 code I25.3 billable? +

Yes, I25.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to I25.3? +

ICD-10 I25.3 includes: Mural aneurysm; Ventricular aneurysm.

Is I25.3 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with I25.3? +

Procedures frequently paired with I25.3 include: 92979, C9607, C9600, 92937, 92920.

What ICD-9 codes does I25.3 map to? +

Per CMS GEMs, I25.3 maps to ICD-9 codes: 41410, 41419. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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