ICD-10 Code I25.761 – Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm is I25.761.
2026 ICD-10-CM Diagnosis Code I25.761 – Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm

What it is

This code identifies atherosclerotic narrowing in a bypass graft supplying a transplanted heart, with angina and documented coronary spasm. Use it when the record clearly links the graft disease, transplant status, angina, and spasm.

Clinical signs

Patients may have chest pain or angina symptoms related to reduced blood flow in the graft. Clinical features vary; refer to documentation for evidence of documented spasm and the transplanted-heart bypass graft location.

When to use this code

Use this code when the provider documents atherosclerosis affecting a bypass graft of a transplanted heart and also states angina pectoris with documented spasm. It is appropriate for encounters focused on ischemic chest pain, graft disease, or follow-up of the documented coronary condition. Check documentation if the spasm is not explicitly recorded.

Do not use for

Do not use this code for unspecified chest pain, native coronary artery disease, or graft disease without a transplanted heart. Do not assign it if angina or documented spasm is absent or not supported in the record.

Coding tip

Verify all components—atherosclerosis, bypass graft, transplanted heart, angina, and documented spasm—before assigning I25.761.

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