ICD-10 Coding for Peripheral Vascular Disease with Claudication(I70.213, I73.9)
Complete ICD-10-CM coding and documentation guide for Peripheral Vascular Disease with Claudication. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Vascular Disease with Claudication
I70.2-I70.7Primary Range
Atherosclerosis of arteries of extremities
Primary range for PVD with claudication due to atherosclerosis
Peripheral vascular disease, unspecified
Used when PVD is unspecified or not linked to atherosclerosis
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 PVD is due to atherosclerosis with claudication symptoms in both legs. |
|
| I73.9 | Peripheral vascular disease, unspecified | Use when PVD is documented without specifying atherosclerosis. |
|
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 vascular disease with claudication
Essential facts and insights about Peripheral Vascular Disease with Claudication
Primary ICD-10-CM Codes for peripheral vascular disease with claudication
Decision Criteria
clinical Criteria
- Documented claudication and imaging evidence of atherosclerosis
Applicable To
- Atherosclerotic PVD with claudication
Excludes
- Non-atherosclerotic PVD
Clinical Validation Requirements
- ABI ≤0.90
- Imaging showing ≥50% stenosis
- Documented claudication symptoms
Code-Specific Risks
- Incorrectly using I73.9 when atherosclerosis is documented
Coding Notes
- Ensure documentation specifies atherosclerosis and claudication.
I73.9 - Peripheral vascular disease, unspecified
Use when PVD is documented without specifying atherosclerosis.
Applicable To
- PVD without specification
Excludes
- Atherosclerotic PVD
Clinical Validation Requirements
- General symptoms of PVD without specific cause
Coding Notes
Avoid using when atherosclerosis 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, not elsewhere classified
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 Vascular Disease with Claudication to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I70.213.
Impact
Clinical: Inaccurate clinical records, Regulatory: Potential audit issues, Financial: Reduced reimbursement
Mitigation Strategy
Use laterality checklists, Train staff on documentation standards
Impact
Reimbursement: Lower reimbursement due to unspecified coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure documentation specifies atherosclerosis to use I70 codes.
Impact
Risk of audits due to unspecified PVD coding
Mitigation Strategy
Ensure detailed documentation of atherosclerosis and claudication.
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 Vascular Disease with Claudication, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Vascular Disease with Claudication
Use these documentation templates to ensure complete and accurate documentation for Peripheral Vascular Disease with Claudication. These templates include all required elements for proper coding and billing.
Vascular Surgery Assessment
Specialty: Vascular SurgeryRequired Elements
- Atherosclerosis confirmation
- Claudication distance
- ABI results
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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