2025 ICD-10-CM Diagnosis Code I20

by

Angina pectoris

  • I20 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2025 edition of ICD-10-CM I20 became effective on October 1, 2024.
  • This is the American ICD-10-CM version of I20 – other international versions of ICD-10 I20 may differ.

Use Additional

  • code to identify:
  • 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)

Type 1 Excludes

  • angina pectoris with atherosclerotic heart disease of native coronary arteries (I25.1-)
  • atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris (I25.7-)
  • postinfarction angina (I23.7)

The following code(s) above I20 contain annotation back-references

 that may be applicable to I20:

  • I00-I99  Diseases of the circulatory system
  • I20-I25  Ischemic heart diseases

Clinical Information

  • A disorder characterized by substernal discomfort due to insufficient myocardial oxygenation.
  • A heart condition marked by paroxysms of chest pain due to reduced oxygen to the heart.
  • Angina is chest pain or discomfort you get when your heart muscle does not get enough blood. It may feel like pressure or a squeezing pain in your chest. It may feel like indigestion. You may also feel pain in your shoulders, arms, neck, jaw or back. Angina is a symptom of coronary artery disease (cad), the most common heart disease. Cad happens when a sticky substance called plaque builds up in the arteries that supply blood to the heart, reducing blood flow.there are three types of angina: stable, unstable and variant. Unstable angina is the most dangerous. It does not follow a pattern and can happen without physical exertion. It does not go away with rest or medicine. It is a sign that you could have a heart attack soon.not all chest pain or discomfort is angina. If you have chest pain, you should see your health care provider.
  • Chest pain caused by coronary heart disease
  • Previous or current symptoms described as chest pain or pressure, jaw pain, arm pain, or other equivalent discomfort suggestive of cardiac ischemia. (nih roadmap cardiovascular data standards working group)
  • Recurring thoracic pain or discomfort which occurs when a part of the heart does not receive enough blood; usually caused by exertion or excitement.
  • The symptom of paroxysmal pain consequent to myocardial ischemia usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the myocardium exceed that supplied by the coronary circulation.

Code History

  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
  • 2024 (effective 10/1/2023): No change
  • 2025 (effective 10/1/2024): No change

Code annotations containing back-references to I20:

  • Type 1 Excludes: I24
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