ICD-10 Coding for Peripheral Arterial Disease(I70.2-, E11.51)
Complete ICD-10-CM coding and documentation guide for Peripheral Arterial Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Arterial Disease
I70.2-I70.7Primary Range
Atherosclerosis of arteries of extremities
This range covers atherosclerosis affecting peripheral arteries, which is a primary cause of PAD.
Peripheral vascular disease, unspecified
Used when PAD is documented without specifying atherosclerosis.
Type 2 diabetes mellitus with peripheral angiopathy
Used when PAD is associated with diabetes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I70.2- | Atherosclerosis of native arteries of extremities | Use when atherosclerosis is documented in peripheral arteries. |
|
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | Use when PAD is linked to diabetes without gangrene. |
|
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 peripheral arterial disease
Essential facts and insights about Peripheral Arterial Disease
Primary ICD-10-CM Codes for peripheral arterial disease
Decision Criteria
clinical Criteria
- Presence of documented atherosclerosis
Applicable To
- Atherosclerosis with claudication
- Atherosclerosis with rest pain
Excludes
- Atherosclerosis of coronary arteries
Clinical Validation Requirements
- Documented atherosclerosis
- Symptoms like claudication or rest pain
Code-Specific Risks
- Misclassification if atherosclerosis is not documented
Coding Notes
- Ensure documentation specifies laterality and symptoms.
E11.51 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
Use when PAD is linked to diabetes without gangrene.
Applicable To
- Diabetic PAD without gangrene
Excludes
- Diabetic PAD with gangrene
Clinical Validation Requirements
- Link between diabetes and PAD
- Absence of gangrene
Coding Notes
Ensure diabetes and PAD linkage is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of lower limb
L97.-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Peripheral Arterial Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I70.2-.
Impact
Clinical: Inadequate treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential reimbursement issues
Mitigation Strategy
Use specific terms like 'claudication', Document diagnostic test results
Impact
Reimbursement: Potential underpayment due to unspecified coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Use I70.2- codes instead.
Impact
Risk of audits due to non-specific documentation
Mitigation Strategy
Ensure detailed documentation of symptoms and diagnostic tests.
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 Peripheral Arterial Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Arterial Disease
Use these documentation templates to ensure complete and accurate documentation for Peripheral Arterial Disease. These templates include all required elements for proper coding and billing.
Vascular Surgery Progress Note
Specialty: Vascular SurgeryRequired Elements
- Patient demographics
- Symptoms and ABI results
- Imaging findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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