Q: When a diabetic patient has arteriosclerotic peripheral artery disease (PAD), should an additional ICD-10-CM code be assigned from subcategory I70.2- (atherosclerosis of native arteries of extremities) to describe the affected vessel and laterality?
The ICD-10-CM classifies both arteriosclerosis and atherosclerosis to category I70, Atherosclerosis. The codes in this category are based on the specific artery (ies) affected and whether bypass grafts or the native circulation are involved.
This build-up is referred to as plaque. Peripheral atherosclerosis is most common in the lower extremities and its progression can lead to loss of oxygen to the body’s tissues, resulting in pain, ulceration, and tissue death (gangrene). The ICD-10-CM classifies both arteriosclerosis and atherosclerosis to category I70, Atherosclerosis.
When a type 2 excludes note appears under a code it is acceptable to use both the code (I70) and the excluded code together. arteriosclerotic cardiovascular disease ( ICD-10-CM Diagnosis Code I25.1 arteriosclerotic heart disease ( ICD-10-CM Diagnosis Code I25.1 atheroembolism ( ICD-10-CM Diagnosis Code I75
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).
ICD-10-CM Code for Atherosclerosis I70.
ICD-10-CM Code for Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs I70. 213.
Occlusion and stenosis of bilateral carotid arteries The 2022 edition of ICD-10-CM I65. 23 became effective on October 1, 2021.
Mild atherosclerosis usually doesn't have any symptoms. Atherosclerosis symptoms usually don't happen until an artery is so narrowed or clogged that it can't supply enough blood to organs and tissues. Sometimes a blood clot completely blocks blood flow. The clot may break apart and can trigger a heart attack or stroke.
Unspecified atherosclerosisICD-10 code I70. 90 for Unspecified atherosclerosis is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
Peripheral artery disease (PAD) is often used interchangeably with the term “peripheral vascular disease (PVD).” The term “PAD” is recommended to describe this condition because it includes venous in addition to arterial disorders.
Atherosclerosis of the extremities is a disease of the peripheral blood vessels that is characterized by narrowing and hardening of the arteries that supply the legs and feet. The narrowing of the arteries causes a decrease in blood flow.
Claudication is pain you feel when your leg muscles don't get enough blood while you exercise. It's also known as intermittent claudication. It's is a sign of atherosclerosis, which means plaque has built up in the arteries in your legs and is causing blockages. This makes it harder for blood to get through.
In the context of stroke, “stenosis” is usually caused by atherosclerosis, a condition where a blood vessel supplying blood to the brain is narrowed due to fatty deposits, known as plaques, on the vessel's inside wall. Risk factors for this type of stenosis include high blood pressure and high cholesterol.
Carotid artery disease is caused by a buildup of plaques in arteries that deliver blood to your brain. Plaques are clumps of cholesterol, calcium, fibrous tissue and other cellular debris that gather at microscopic injury sites within the artery. This process is called atherosclerosis.
What is atherosclerosis of the aorta? Having atherosclerosis (say "ath-uh-roh-skluh-ROH-sis") of the aorta means that a material called plaque (fat and calcium) has built up in the inside wall of a large blood vessel called the aorta. This plaque buildup is sometimes called "hardening of the arteries."
Thickening and loss of elasticity of arterial walls; atherosclerosis is the most common form of arteriosclerosis and involves lipid deposition and thickening of the intimal cell layers within arteries; additional forms of arteriosclerosis involve calcification of the media of muscular arteries (monkeberg medial calcific sclerosis) and thickening of the walls of small arteries or arterioles due to cell proliferation or hyaline deposition (arteriolosclerosis).
It is caused by deposition of hyaline material in the wall or concentric smooth muscle wall hypertrophy. It results in lumen narrowing and tissue ischemia.
coronary artery disease. These arteries supply blood to your heart. When they are blocked, you can suffer angina or a heart attack.
The 2021 edition of ICD-10-CM I70 became effective on October 1, 2020.
The codes in this category are based on the specific artery (ies) affected and whether bypass grafts or the native circulation are involved. Subcategory I70.2 is used to report atherosclerosis of the extremities with varying levels of progression from intermittent claudication (pain induced by exercise and relieved by rest) to rest pain to ulceration and ultimately to gangrene.
The arteries are flexible, elastic vessels that carry oxygen to the body’s tissues. The arteries can harden and lose their elasticity, a condition called arteriosclerosis. Atherosclerosis is a specific type of arteriosclerosis caused by the accumulation of fats, cholesterol, and other substances within the arteries. This build-up is referred to as plaque. Peripheral atherosclerosis is most common in the lower extremities and its progression can lead to loss of oxygen to the body’s tissues, resulting in pain, ulceration, and tissue death (gangrene).
Codes in category I70 are assigned based on this hierarchical structure; when multiple manifestations are present, only one code from I70 is assigned. For example, a patient presenting with arteriosclerosis with intermittent claudication and rest pain is only assigned code I70.229, Atherosclerosis of native arteries of extremities with rest pain, unspecified extremity. The index pathway for this is as follows:
Coding Check Up: How Are Your PVD Coding Skills? Peripheral vascular disease (PVD), also commonly known as peripheral artery disease (PAD), is a generic term for any progressive disease affecting the noncardiac circulation. PVD can have various causes, including narrowing (stenosis), occlusion, or spasm. The underlying cause of PVD can vary and may ...
The underlying cause of PVD can vary and may include diabetes, hypertension, arteriosclerosis, or atherosclerosis. Coding for PVD is not nearly as simple as it may initially seem, as it may require additional detective work to piece together the patient’s clinical picture.
Putting on Your Detective Hat. Unfortunately, coding arteriosclerosis isn’t as simple as coding from a diagnostic statement in a single report in a medical record. In cases where the patient has a vascular procedure for the PVD, there is often very specific documentation in the findings of the procedure report.
Coronary Artery Disease (CAD) is the blockage of coronary arteries due to cholesterol and fatty deposits called plaques. This is a chronic disease which can lasts for years or be lifelong. Heart attack occurs if the coronary artery is completely blocked.
Remember to confirm if the CAD is in native artery (artery with which the person is born) or bypass graft (graft inserted during CABG procedure) Angina should be combined and coded with CAD unless there is documentation that the angina is due to some other reason.
Angina should be combined and coded with CAD unless there is documentation that the angina is due to some other reason. See for excludes 1 note when coding CAD and angina. See for ‘code first’ note with I25.82 and I25.83. I25.10 – CAD. This is the common code used for unspecified CAD of native artery without angina.
It affects about 8.5 million Americans over the age of 40 and those who smoke or have diabetes are at a higher risk.1,2 “Peripheral arterial disease (PAD),” “peripheral vascular disease (PVD)”, “spasm of artery” and “intermittent claudication” are coded as I73.9. It is important to note that this code excludes atherosclerosis of the extremities (I70.2- – I70.7-). When atherosclerosis (arteriosclerosis) is diagnosed by the clinician, the progress note should state “arteriosclerosis of” and the site including laterality, “arteriosclerotic” or “arteriosclerosis with” followed by the symptom or complication (for example, arteriosclerosis of the legs with intermittent claudication bilaterally). Arteriosclerosis and atherosclerosis may be used interchangeably for documentation and coding purposes. Documentation of arteriosclerosis that lacks specificity is coded as I70.90.
ICD-10-CM presumes a causal relationship between “diabetes” with “peripheral angiopathy.” These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless documentation clearly states the conditions are unrelated. If the patient has atherosclerosis of native arteries of extremities, use an additional code to provide additional details such as laterality and manifestations.
Atherosclerotic disease is a progressive disease. Therefore, avoid documenting “history of peripheral vascular disease” and instead consider “known peripheral arterial disease.” In support of such documentation, providers can use a Z code for patients who have had peripheral arterial bypass (Z95.828 Presence of other vascular implants and grafts) in addition to the ICD-10-CM code for PAD, I73.9.