I25.2

Old myocardial infarction

FY2027Chapter 9: Diseases of the circulatory system/I20–I25 Ischemic heart diseases

BillableComplete code, valid to report

I25.2 (also written I252) is a billable ICD-10-CM diagnosis code for old myocardial infarction. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 56 codes in category I25 (Chronic ischemic heart disease). The Alphabetic Index lists it under 8 entries. Its coding notes include a Use additional code instruction, a Code also instruction and 11 Excludes2 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

I21 may continue to be reported while the MI is four weeks old or less. After that, continuing care is coded as aftercare, and a healed MI may be coded I25.2.

Guidelines I.C.9.e.1Acute myocardial infarction: the four-week time frameRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Inherited from I25 Chronic ischemic heart disease
  • 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)

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

Also from chapter/block level (1 note)
Inherited from I20–I25 Ischemic heart diseases
  • the presence of hypertension (I10-I1A)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from I25 Chronic ischemic heart disease
  • non-ischemic myocardial injury (I5A)
Also from chapter/block level (10 notes)
Inherited from Chapter 9 Diseases of the circulatory system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Inclusion terms

Conditions classified to this code.

This code
  • Healed myocardial infarction
  • Past myocardial infarction diagnosed by ECG or other investigation, but currently presenting no symptoms

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 8 entries