ICD-10 Coding for Femoral Artery Occlusion(I70.213, T82.856A)
Complete ICD-10-CM coding and documentation guide for Femoral Artery Occlusion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Femoral Artery Occlusion
I70.2-I70.9Primary Range
Atherosclerosis
This range covers atherosclerotic occlusions of peripheral arteries, including the femoral artery.
Complications of cardiac and vascular prosthetic devices, implants and grafts
This range is used for complications such as in-stent restenosis or occlusion.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I70.213 | Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs | Use when atherosclerosis is confirmed with intermittent claudication symptoms. |
|
| T82.856A | Stenosis of vascular stent, initial encounter | Use for complications related to vascular stents, such as restenosis. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for femoral artery occlusion
Essential facts and insights about Femoral Artery Occlusion
Primary ICD-10-CM Codes for femoral artery occlusion
Decision Criteria
clinical Criteria
- Presence of intermittent claudication and imaging confirmation
Applicable To
- Intermittent claudication due to atherosclerosis
Excludes
- Embolism and thrombosis of arteries (I74.-)
Clinical Validation Requirements
- Documented intermittent claudication
- Imaging confirmation of atherosclerosis
Code-Specific Risks
- Misclassification if symptoms are not clearly documented
Coding Notes
- Ensure documentation specifies laterality and symptoms.
T82.856A - Stenosis of vascular stent, initial encounter
Use for complications related to vascular stents, such as restenosis.
Applicable To
- In-stent restenosis
Excludes
- Atherosclerosis of native arteries (I70.-)
Clinical Validation Requirements
- Imaging confirmation of in-stent stenosis
Coding Notes
Ensure documentation specifies stent involvement and chronicity.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.51Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Embolism and thrombosis of arteries of the lower extremities
I74.3Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
I70.213Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Femoral Artery Occlusion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I70.213.
Impact
Clinical: Potential mismanagement of patient care., Regulatory: Non-compliance with coding standards., Financial: Reduced reimbursement due to unspecified codes.
Mitigation Strategy
Ensure detailed documentation of symptoms and findings., Use specific ICD-10 codes.
Impact
Reimbursement: Incorrect DRG assignment can affect reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use T82.856A for in-stent restenosis and code underlying conditions.
Impact
Misclassification of in-stent restenosis as native artery atherosclerosis.
Mitigation Strategy
Regular training on coding updates and documentation requirements.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Femoral Artery Occlusion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Femoral Artery Occlusion
Use these documentation templates to ensure complete and accurate documentation for Femoral Artery Occlusion. These templates include all required elements for proper coding and billing.
Chronic limb ischemia with stent restenosis
Specialty: Vascular SurgeryRequired Elements
- Chronicity of symptoms
- Imaging findings
- Stent involvement
- ABI measurements
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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