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

ICD-10 I25.5

Billable / Specific

Ischemic cardiomyopathy

I25
Block
0
Synonyms
754
LCDs
42
Payer Policies
142
Linked CPTs

About ICD-10-CM I25.5

ICD-10-CM code I25.5 represents Ischemic cardiomyopathy. This is a billable/specific code in the Circulatory System chapter (block I25). The 2026 edition of ICD-10-CM I25.5 became effective on October 1, 2025.

Type 2 Excludes

Not included here, the excluded code is not part of I25.5, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • coronary atherosclerosis (I25.1-, I25.7-)

Medicare LCD Coverage for I25.5

Local Coverage Determinations (LCDs) from CMS MACs that list I25.5 as a covered diagnosis.

754 LCDs

Showing top 10 of 754 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 I25.5.

42 policies

5 Cigna

Ambulatory External and Implantable Electrocardiographic Monitoring - (0547)
Policy ID: MM_0547
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

Automatic External Defibrillators - Policy Article
Policy ID: ART-52458
Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56326
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56340
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56343

CPT Codes Commonly Billed with I25.5

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

142 linkages
  • 93451 Right heart cath — CAD, native vessel disease, ischemic cardiomyopathy, unstable angina, MI, heart failure, valvular disease, chest pain Cardiology
  • 93452 Left heart cath — same as right heart cath indications Cardiology
  • 93458 Coronary angiography — CAD, unstable angina, MI, heart failure, chest pain, prior bypass graft evaluation Cardiology
  • 92928 PCI with stent — CAD native vessel, unstable angina, STEMI/NSTEMI all arteries, ischemic cardiomyopathy, bypass graft disease Interventional Cardiology
  • G0448 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33216 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33230 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33244 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33264 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33263 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD

Convert I25.5 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I25.5 4148 10000

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

ICD-10 I25.5, Billing FAQ

Is ICD-10 code I25.5 billable? +

Yes, I25.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 2 Excludes for I25.5? +

Type 2 Excludes (may be coded together when both conditions exist): coronary atherosclerosis (I25.1-, I25.7-)

What CPT codes are commonly billed with I25.5? +

Procedures frequently paired with I25.5 include: 93451, 93452, 93458, 92928, G0448.

What ICD-9 codes does I25.5 map to? +

Per CMS GEMs, I25.5 maps to ICD-9 codes: 4148. 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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