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ICD-10 Code I25: Chronic ischemic heart disease

I25 is an ICD-10 diagnosis entry used to group records related to Chronic ischemic heart disease. You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen. ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Diseases of the circulatory system (I00-I99).

What is this code?

ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Diseases of the circulatory system (I00-I99).

When is it used?

  • May be used when a clinician documents chronic ischemic heart disease in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code may act more like a grouping or parent code, so a more specific child code may be used in final documentation when available.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.
  • This entry may represent a broader category rather than the most specific billable code.

Code hierarchy

chapter
9Diseases of the circulatory system (I00-I99)
block
I20-I25Ischemic heart diseases
currentI20-I25

Official coding notes

Applicable to
  • 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)
Excludes2 (may code together if documented)
  • 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)

Where you may see this code

You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen.

Related specialists

CardiologistGeneral PhysicianENT Specialist

Coding guidelines

Compatibility

Legacy code aligns to an official FY 2026 category. Frontend should resolve to the official category page and surface the billable child codes.
Legacy codes
I25
Replacement codes
I25.2 — Old myocardial infarctionI25.3 — Aneurysm of heartI25.5 — Ischemic cardiomyopathyI25.6 — Silent myocardial ischemiaI25.9 — Chronic ischemic heart disease, unspecified

Common synonyms

Chronic ischemic heart disease

Frequently asked questions

Code details

CodeI25
SystemICD10
Display nameChronic ischemic heart disease
ChapterDiseases of the circulatory system (I00-I99)
BlockIschemic heart diseases

Flags

BillableNo
Valid clinical useNo

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.