icd 10 code for occlusion of sfa

by Mr. Diego Daugherty 9 min read

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 .

Full Answer

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.

What is the ICD 10 code for occlusion of the cerebral artery?

Occlusion and stenosis of unspecified cerebral artery. I66.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

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 ICD 10 code for Type 1 excludes?

Z95.820 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z95.820 became effective on October 1, 2020. This is the American ICD-10-CM version of Z95.820 - other international versions of ICD-10 Z95.820 may differ. A type 1 excludes note is a pure excludes.

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What is the ICD-10 code for occlusion of the left SFA?

Chronic total occlusion of artery of the extremities The 2022 edition of ICD-10-CM I70. 92 became effective on October 1, 2021.

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 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 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 a SFA lesion?

The SFA represents an extremely common site of atherosclerotic disease. Stenotic lesions in this vessel are most commonly observed at the level of the adductor (Hunter's) canal.

What is SFA angioplasty?

During the past decade, multiple technologies have been developed for treatment of superficial femoral artery (SFA) atherosclerotic disease, including balloon angioplasty, bare nitinol self-expanding stents, drug-eluting nitinol stents, and drug-coated balloons.

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 SFA located in the body?

The SFA is the longest artery in the human body, and it originates at the junction of the common femoral artery as it bifurcates to the deep femoral (profunda) and the SFA. This anatomical location is fixed by a flexible joint above at the femoral head and a flexible joint below at the knee.

Is there a superficial femoral artery?

Superficial femoral artery: This part of the femoral artery continues from the common femoral artery. It delivers blood to the lower leg, including the muscles at the front of your thigh and part of your knee.

What is acute occlusion?

Acute arterial occlusion is synonymous with acute limb ischemia and is considered a vascular emergency. Acute limb ischemia is defined as a sudden loss of limb perfusion for up to 2 weeks after the initiating event. Acute arterial occlusion can occur in any peripheral artery of the upper and lower extremities.

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 tibial artery?

The anterior tibial artery is an artery of the leg. It carries blood to the anterior compartment of the leg and dorsal surface of the foot, from the popliteal artery.

What is the treatment for blocked arteries in the legs?

Angioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to your legs. Fatty deposits can build up inside the arteries and block blood flow. A stent is a small, metal mesh tube that keeps the artery open. Angioplasty and stent placement are two ways to open blocked peripheral arteries.

What are the symptoms of blocked arteries in the legs?

The narrowing of the arteries causes a decrease in blood flow. Symptoms include leg pain, numbness, cold legs or feet and muscle pain in the thighs, calves or feet. The arteries which supply blood to the leg originate from the aorta and iliac vessels.

What are the symptoms of a blocked femoral artery?

PAD Pain Signs and SymptomsTell-tale signs of femoral artery disease and PAD include:Aching, cramping, numbing and weakness that occurs when walking or exercising.Coldness in the lower leg or foot, especially when compared with the other leg.Sores on your legs, feet or toes that won't heal.More items...

What are the signs of vascular disease?

Wounds that won't heal over pressure points, such as heels or ankles.Numbness, weakness, or heaviness in muscles.Burning or aching pain at rest, commonly in the toes and at night while lying flat.Restricted mobility.Thickened, opaque toenails.Varicose veins.

What does the title of a manifestation code mean?

In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.

When will ICD-10-CM I70.92 be released?

The 2022 edition of ICD-10-CM I70.92 became effective on October 1, 2021.

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.

When will the ICD-10-CM T82.898A be released?

The 2022 edition of ICD-10-CM T82.898A became effective on October 1, 2021.

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. code to identify any retained foreign body, if applicable ( Z18.-)

When will the ICD-10 T82.856 be released?

The 2022 edition of ICD-10-CM T82.856 became effective on October 1, 2021.

How is a right SFA occlusion accessed?

A right SFA occlusion is accessed using a contralateral left femoral puncture. The lesion is crossed with a guidewire, treated with a stent, and fully opened with ballooning.

How is SFA occlusion treated?

The occlusion is treated with balloon angioplasty and stenting.

What is the stent number 37227?

37227—Atherectomy, stent, and balloon angioplasty of SFA

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 included in the work of catheterization codes?

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.

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.

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