Stenosis of peripheral vascular stent
The internal carotid artery is a terminal branch of the common carotid artery; it arises around the level of the fourth cervical vertebra when the common carotid bifurcates into this artery and its more superficial counterpart, the external carotid artery .
MeSH terms
ICD-10 code I65. 22 for Occlusion and stenosis of left carotid artery is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
What is carotid artery stenosis? Carotid artery stenosis is a condition that happens when your carotid artery, the large artery on either side of your neck, becomes blocked. The blockage is made up of a substance called plaque (fatty cholesterol deposits).
ICD-10 Code for Occlusion and stenosis of carotid artery- I65. 2- Codify by AAPC.
I65. 2 - Occlusion and stenosis of carotid artery | ICD-10-CM.
ICA - internal carotid artery.
Both right and left common carotid arteries bifurcate in the neck at the level of the carotid sinus into the internal carotid artery (ICA), which supplies the brain, and the external carotid artery (ECA), which supplies the neck and face.[1] Course[edit | edit source] The carotid arteries originate posterior to the ...
Carotid artery disease is also called carotid artery stenosis. The term refers to the narrowing of the carotid arteries. This narrowing is usually caused by the buildup of fatty substances and cholesterol deposits, called plaque. Carotid artery occlusion refers to complete blockage of the artery.
The radial artery is a peripheral artery, the bifurcation is a carotid artery, and the left coronary is a central artery.
Description of Cpt Code 93880 & 93882 The exam is performed to find any occlusion or stenosis present in the carotid arteries of neck.
ICD-10 | Cerebral infarction, unspecified (I63. 9)
Coders have struggled for some time with the dilemma of when to assign the combination code of carotid stenosis, with cerebral infarction (i.e.I63.231) and when to assign separate codes for the specific cerebral infarction and carotid stenosis. (i.e. I66.01 and I65.21). The problem is with how the coder looks at the index and also where the carotid stenosis is, as opposed to where the cerebral infarction is. Also, occlusion is not the same as stenosis in that a patient can have a minimally stenotic carotid that would not cause occlusion of an artery.
Occlusion: When the coder indexes infarction, cerebral, there is the term “due to” listed.This means there must be a link by the physician documented. “Due to” is not assumed to exist without physician documentation.
In reviewing the case from 3Q2018 Coding Clinic page 5, the MI is not coded as associated with a totally occluded coronary artery because the MI is in a different artery. The MI is coded separately from the total occlusion and is not assumed to be related.
Cerebral infarctions can be due to other causes such as a thrombus or embolus that are not related to carotid stenosis. Many patients have minimal carotid stenosis but have cerebral infarctions due to other causes. When it is unclear, and if the facility allows, best practice would be to query the physician to see if the cerebral infarction is ...
Similarly in a case of cerebral infarction with carotid stenosis, the coder should look at CT scans or MRIs to find the location of the cerebral infarction. If the origination is from the carotid stenosis, and it is documented as such, then the combination code would be assigned. However, if the coder sees that the cerebral infarction is in ...
The problem is with how the coder looks at the index and also where the carotid stenosis is, as opposed to where the cerebral infarction is. Also, occlusion is not the same as stenosis in that a patient can have a minimally stenotic carotid that would not cause occlusion of an artery.
When it is unclear, and if the facility allows, best practice would be to query the physician to see if the cerebral infarction is related or unrelated to the carotid stenosis. In the interim, if the record is unclear of a relationship between the cerebral infarction and the carotid stenosis, and the facility does not allow query in these cases, it may be best to assign separate codes for the carotid stenosis and cerebral infarction. This is because the code description itself states “Due to” within it. (i.e. Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries). HIA is seeking official guidance on this situation.