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

ICD-10 I25.9

Billable / Specific

Chronic ischemic heart disease, unspecified

I25
Block
1
Synonyms
360
LCDs
32
Payer Policies
18
Linked CPTs

About ICD-10-CM I25.9

ICD-10-CM code I25.9 represents Chronic ischemic heart disease, unspecified. This is a billable/specific code in the Circulatory System chapter (block I25). The 2026 edition of ICD-10-CM I25.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I25.9. Per CMS ICD-10-CM Tabular 2026.

  • Ischemic heart disease (chronic) NOS

Medicare LCD Coverage for I25.9

Local Coverage Determinations (LCDs) from CMS MACs that list I25.9 as a covered diagnosis.

360 LCDs

Showing top 10 of 360 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Coronary Computed Tomography Angiography (CCTA)
Article ID: 57552, Effective: 2025-10-30 00:00:00, 213 covered, 0 non-covered
CPT 75573 →
CMS LCD: Billing and Coding: Coronary Computed Tomography Angiography (CCTA)
Article ID: 57552, Effective: 2025-10-30 00:00:00, 213 covered, 0 non-covered
CPT 75572 →
CMS LCD: Billing and Coding: Coronary Computed Tomography Angiography (CCTA)
Article ID: 57552, Effective: 2025-10-30 00:00:00, 213 covered, 0 non-covered
CPT 75571 →
CMS LCD: Billing and Coding: Coronary Computed Tomography Angiography (CCTA)
Article ID: 57552, Effective: 2025-10-30 00:00:00, 213 covered, 0 non-covered
CPT 75574 →
CMS LCD: Billing and Coding: Homocysteine Level, Serum
Article ID: 56675, Effective: 2024-10-01 00:00:00, 550 covered, 0 non-covered
CPT 83090 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT A4641 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT J0461 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT A9611 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT 78454 →
CMS LCD: Billing and Coding: Cardiac Radionuclide Imaging
Article ID: 56476, Effective: 2025-10-01 00:00:00, 627 covered, 0 non-covered
CPT J1245 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I25.9.

32 policies

1 Aetna

Obstructive Sleep Apnea in Adults - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0004

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 Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
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
Billing and Coding: Cardiac Rhythm Device Evaluation
Policy ID: ART-56602

CPT Codes Commonly Billed with I25.9

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

18 linkages
  • 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
  • 93286 CMS LCD: Billing and Coding: Cardiac Rhythm Device Evaluation CMS LCD

Convert I25.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I25.9 4148 10000
I25.9 4149 10000

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

ICD-10 I25.9, Billing FAQ

Is ICD-10 code I25.9 billable? +

Yes, I25.9 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 I25.9? +

ICD-10 I25.9 includes: Ischemic heart disease (chronic) NOS.

What CPT codes are commonly billed with I25.9? +

Procedures frequently paired with I25.9 include: 93281, 93280, 93296, 93279, 93283.

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

Per CMS GEMs, I25.9 maps to ICD-9 codes: 4148, 4149. 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 July 16, 2026.

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