I25.812 Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Atherosclerosis of bypass graft of transplanted heart NOS

Excludes1 (never code together)

• atherosclerosis of bypass graft of transplanted heart with angina pectoris (I25.76)

Applies from I25 Chronic ischemic heart disease

Excludes2 (not included here)

• non-ischemic myocardial injury (I5A)

Use additional code

• code to identify:
• chronic total occlusion of coronary artery (I25.82)
• exposure to environmental tobacco smoke (Z77.22)
• history of tobacco dependence (Z87.891)
• occupational exposure to environmental tobacco smoke (Z57.31)
• tobacco dependence (F17.-)
• tobacco use (Z72.0)

Applies from I25.81 Atherosclerosis of other coronary vessels without angina pectoris

Excludes2 (not included here)

• atherosclerotic heart disease of native coronary artery without angina pectoris (I25.10)

Use additional code

• code, if applicable, to identify:
• coronary atherosclerosis due to calcified coronary lesion (I25.84)
• coronary atherosclerosis due to lipid rich plaque (I25.83)

Risk adjustment (HCC)

• RxHCC V08: HCC 188 — Coronary Artery Disease

MS-DRG index

Defines the logic of DRG(s) 302-303 in MDC 05.

Approximate ICD-9-CM (GEMs)

• 414.07 Coronary atherosclerosis of bypass graft (artery) (vein) of transplanted heart (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Adult diagnoses (age 15 through 124): Age conflict edit. These diagnoses are clinically expected only in patients age 15 through 124.

Code annotations containing back-references to I25.812

Back-references to I25.812

• Type 1 Excludes: I25.7 Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris ("atherosclerosis of bypass graft(s) of transplanted heart without angina pectoris (I25.812)")
• Type 1 Excludes: I25.76 Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris ("atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris (I25.812)")

Back-references to I25.81

• Code First: I25.82 Chronic total occlusion of coronary artery ("coronary atherosclerosis (I25.1-, I25.7-, I25.81-)")
• Code First: I25.83 Coronary atherosclerosis due to lipid rich plaque ("coronary atherosclerosis (I25.1-, I25.7-, I25.81-)")
• Code First: I25.84 Coronary atherosclerosis due to calcified coronary lesion ("coronary atherosclerosis (I25.1-, I25.7-, I25.81-)")
• Type 1 Excludes: T86.290 Cardiac allograft vasculopathy ("atherosclerosis of coronary arteries (I25.75-, I25.76-, I25.81-)")

Back-references to I25

• Type 2 Excludes: I74 Arterial embolism and thrombosis ("coronary embolism and thrombosis (I21-I25)")
• Type 2 Excludes: I82 Other venous embolism and thrombosis ("coronary (I21-I25)")

Diagnosis Index entries for I25.812

• Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification) › coronary (artery) › transplanted heart › bypass graft
• Atherosclerosis › transplanted heart › bypass graft

Nearby codes

• I25.799 Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris
• I25.8 Other forms of chronic ischemic heart disease
• I25.81 Atherosclerosis of other coronary vessels without angina pectoris
• I25.810 Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
• I25.811 Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
• I25.812 Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris (this code)
• I25.82 Chronic total occlusion of coronary artery
• I25.83 Coronary atherosclerosis due to lipid rich plaque
• I25.84 Coronary atherosclerosis due to calcified coronary lesion
• I25.85 Chronic coronary microvascular dysfunction
• I25.89 Other forms of chronic ischemic heart disease