icd 10 code for left sfa occlusion

What is the ICD 10 code for total occlusion?

Chronic total occlusion of artery of the extremities. I70.92 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM I70.92 became effective on October 1, 2019.

How is a right SFA occlusion treated?

A right SFA occlusion is accessed using a contralateral femoral approach, crossed with a guidewire, and then treated with atherectomy and balloon angioplasty. 37225—Atherectomy, SFA (includes all ballooning)

What is the ICD 10 code for occlusion and stenosis?

Occlusion and stenosis of right middle cerebral artery Right middle cerebral artery occlusion ICD-10-CM Diagnosis Code I66.02 [convert to ICD-9-CM] Occlusion and stenosis of left middle cerebral artery

What is the modifier for left SFA stenosis?

A left SFA stenosis is opened with atherectomy, balloon angioplasty, and ultimately stenting. In this case, because the treatment performed in each leg is different, modifier -50 for a bilateral procedure is not appropriate. The -59 modifier is used to denote that separate procedures were performed in different legs.

What is SFA occlusion?

Occlusion of a major lower extremity artery is a primary stimulus to the enlargement of pre-existing collateral vessels, and the superficial femoral artery (SFA) is the most common site of lower extremity arterial occlusions (4).

What is the ICD 10 code for tibial artery occlusion?

ICD-10-PCS Code 04LQ3ZZ - Occlusion of Left Anterior Tibial Artery, Percutaneous Approach - Codify by AAPC.

What is the SFA artery?

The superficial femoral artery (SFA) is a frequent target of atherosclerotic disease predominantly in the proximal section near the bifurcation to the deep femoral artery and in the distal section where the adductor muscles tend to compress the artery.

What is popliteal occlusion?

Popliteal artery occlusion is usually the end stage of a long-standing disease process of atheromatous plaque formation. Once formed, the atherosclerotic core is a highly thrombogenic surface that promotes platelet aggregation, which results in disturbances of blood flow.

What is the ICD 10 code for SFA occlusion?

ICD-10 code I70. 92 for Chronic total occlusion of artery of the extremities is a medical classification as listed by WHO under the range - Diseases of the circulatory system .

What is the ICD 10 code for peripheral arterial occlusive disease?

Provider's guide to diagnose and code PAD Peripheral Artery Disease (ICD-10 code I73. 9) is estimated to affect 12 to 20% of Americans age 65 and older with as many as 75% of that group being asymptomatic (Rogers et al, 2011).

Is SFA a coronary artery?

The fact that the superficial femoral artery (SFA) is located within a fibromuscular canal and is subjected to highly dynamic forces of flexion, extension, shortening, and torsion clearly distinguishes it from the coronary arteries....Table.Femoropopliteal ArteryCoronary ArteryArtery typeMuscularMuscular7 more rows•Sep 27, 2016

Where is the distal SFA?

Superficial Femoral Artery Exposure—Mid-/Distal The SFA follows a course between the anterior and medial compartments of the thigh in an aponeurotic tunnel, the adductor (Hunter) canal, created by components of the investing fascia of the vastus medialis, sartorius, and the adductor longus muscles.

Where is the left superficial femoral artery?

The femoral artery runs down the front and medial side of the thigh with the first 4 cm of the vessel enclosed within the femoral sheath together with the femoral vein.

What is a left popliteal?

Introduction. The popliteal artery is located behind the knee in the popliteal fossa and is a direct extension of the superficial femoral artery after it passes through the adductor hiatus, an opening in the tendinous slip of the great adductor muscle of the thigh.

Where is popliteal region located?

The Popliteal Fossa is a diamond-shaped space behind the knee joint. It is formed between the muscles in the posterior compartments of the thigh and leg. This anatomical landmark is the major route by which structures pass between the thigh and leg.

What is peroneal artery occlusion?

Conclusion: Acute peroneal artery ischemia syndrome is a special type of acute lower limb ischemia, with the three symptoms of "peroneal artery blood-supply zone pale/red + severe pain of the gastrocnemius muscle + acute drop foot" as the main characteristics and should be treated by early active anticoagulant and ...

What is the code for revascularization of the lower extremity?

The lower extremity revascularization codes 37221–37235 include all the work of opening the vessel. Each of these codes includes any balloon angioplasty used for treatment of the vessel, whether done as a stand-alone procedure for a lesion, a predilation of a lesion prior to stenting or atherectomy, or to fully open lesions treated with atherectomy and/or stenting. Even if multiple lesions are treated within a vessel, a single code is reported for any and all treatments used for a single vessel. Note that for coding purposes, the definition of a single femoropopliteal vessel includes the entire ipsilateral common femoral, profunda femoral, superficial femoral, and popliteal artery segment for codes 37221–37235. Report the code representing the highest-order therapy used in the vessel. All imaging guidance, angiography associated with the therapy, and completion angiography are included in the work of these codes. The codes also include all work associated with accessing the vessel and crossing the lesion. Catheterization codes are not separately reported. Moderate sedation is included in the work of this family of codes.

What is the code for a femoropopliteal artery?

Even though two separate lesions are treated, 37226 includes all of the work of stenting and ballooning used to open the entire segment of femoropopliteal artery in a single leg. No additional code is reported for a separate lesion (s) in the same segment leg for any part of the common, deep, superficial femoral and popliteal artery segments.

How is a right popliteal aneurysm treated?

A right popliteal aneurysm is accessed using an antegrade femoral puncture and treated with a covered stent. In addition, a focal stenosis of the proximal right SFA is treated with stenting.

What is the code for a stent placement?

Code 37236 does not include access to the lesion, so additional coding for catheterization and crossing the lesion is necessary.

Why is the -50 modifier not appropriate?

In this case, because the treatment performed in each leg is different, modifier -50 for a bilateral procedure is not appropriate. The -59 modifier is used to denote that separate procedures were performed in different legs.

Is 37226 occlusive or aneurysmal?

In the case that both occlusive and aneurysmal disease are treated within the same vessel segment, the therapy for the dominant part of the disease should be reported. In this case, the aneurysm was considered the dominant disease. Although 37236 reports treatment of the popliteal artery only, use of 37226 in addition to reporting stenting of the SFA stenosis would result in duplicate reporting of the popliteal artery stent placement because 37226 includes all stenting performed in the SFA and popliteal arteries. If the occlusive disease was considered the dominant pathology being treated, the entire procedure would be reported with 37226.

Does 37226 have a modifier?

Not all carriers recognize the -50 modifier for bilateral procedures. Some carriers may want this reported as 37226, 37226-50. Others may want it reported as 37226, 37226-59. However, a modifier is required to notify the carrier that bilateral lesions have been treated. Reporting 37226 twice in the same leg will result in denial of the second code.