Wiki I25.119 vs I25.719 vs I25.729

leo061108

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I have a question regarding when to use I25.119, I25.719 and I25.729.

In this example (patient has documented CAD with unspecified angina) -

SELECTIVE CORONARY ANGIOGRAPHY:
1. Left main is with no significant angiographic disease.
2. Left anterior descending artery has prior stents and is open IFR is normal
3. Left circumflex has mild diffuse disease
4. Right coronary artery has mild diffuse disease
5. SVG to LCX is closed
6. SVG to RCA is closed
7. LIMA to LAD is closed

Closure of grafts but patency of native vessels and prior stents

Would you code I25.119 (for "mild diffuse disease" of the LC and RC) as well as I25.719 (for closed SVG to the LC and RC) and I25.729 (for closed LIMA to the LD)?
Or since, even though the SVG's and LIMA are closed, the LD, LC and RC are open. So would it just be the I25.119 to capture the "mild diffuse disease" of the LC and RC?

Any advice is appreciated!!
 
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