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

ICD-10 I25.810

Billable / Specific CC

Atherosclerosis of coronary artery bypass graft(s) without angina pectoris

I25
Block
1
Synonyms
590
LCDs
36
Payer Policies
19
Linked CPTs

About ICD-10-CM I25.810

ICD-10-CM code I25.810 represents Atherosclerosis of coronary artery bypass graft(s) without angina pectoris. This is a billable/specific code in the Circulatory System chapter (block I25). The 2026 edition of ICD-10-CM I25.810 became effective on October 1, 2025.

Coding Tips for I25.810

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

Inpatient DRG impact: CC

I25.810 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 I25.810. Per CMS ICD-10-CM Tabular 2026.

  • Atherosclerosis of coronary artery bypass graft NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with I25.810. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • atherosclerosis of coronary bypass graft(s) with angina pectoris (I25.70-I25.73-, I25.79-)

Inpatient DRG Impact, CC

codes Atherosclerosis of coronary artery bypass graft(s) without angina pectoris. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for I25.810

Local Coverage Determinations (LCDs) from CMS MACs that list I25.810 as a covered diagnosis.

590 LCDs

Showing top 10 of 590 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 I25.810.

36 policies

1 Aetna

Positron Emission Tomography (PET) - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0071

3 Cigna

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: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423
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: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-56500

CPT Codes Commonly Billed with I25.810

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

19 linkages
  • 92928 PCI with stent — CAD native vessel, unstable angina, STEMI/NSTEMI all arteries, ischemic cardiomyopathy, bypass graft disease Interventional Cardiology
  • 93281 CMS LCD: Billing and Coding: Cardiac Rhythm Device Evaluation CMS LCD
  • 93280 CMS LCD: Billing and Coding: Cardiac Rhythm Device Evaluation CMS LCD
  • 93296 CMS LCD: Billing and Coding: Cardiac Rhythm Device Evaluation CMS LCD
  • 93279 CMS LCD: Billing and Coding: Cardiac Rhythm Device Evaluation CMS LCD
  • 93283 CMS LCD: Billing and Coding: Cardiac Rhythm Device Evaluation CMS LCD
  • 93261 CMS LCD: Billing and Coding: Cardiac Rhythm Device Evaluation CMS LCD
  • 93288 CMS LCD: Billing and Coding: Cardiac Rhythm Device Evaluation CMS LCD
  • 93282 CMS LCD: Billing and Coding: Cardiac Rhythm Device Evaluation CMS LCD
  • 93724 CMS LCD: Billing and Coding: Cardiac Rhythm Device Evaluation CMS LCD

Convert I25.810 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I25.810 41405 10000

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

ICD-10 I25.810, Billing FAQ

Is ICD-10 code I25.810 billable? +

Yes, I25.810 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 I25.810? +

ICD-10 I25.810 includes: Atherosclerosis of coronary artery bypass graft NOS.

What codes are Type 1 Excludes for I25.810? +

Type 1 Excludes (never code together with I25.810): atherosclerosis of coronary bypass graft(s) with angina pectoris (I25.70-I25.73-, I25.79-)

Is I25.810 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 I25.810? +

Procedures frequently paired with I25.810 include: 92928, 93281, 93280, 93296, 93279.

What ICD-9 codes does I25.810 map to? +

Per CMS GEMs, I25.810 maps to ICD-9 codes: 41405. 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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