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ICD-10 Coding for Stenosis of Subclavian Artery(I77.1, I70.8)

Complete ICD-10-CM coding and documentation guide for Stenosis of Subclavian Artery. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Subclavian Artery NarrowingSubclavian Artery Stricture

Related ICD-10 Code Ranges

Complete code families applicable to Stenosis of Subclavian Artery

I77-I79Primary Range

Other disorders of arteries and arterioles

This range includes codes for non-atherosclerotic stenosis of arteries, including the subclavian artery.

Atherosclerosis

This range is relevant when stenosis is due to atherosclerosis, affecting the subclavian artery.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I77.1Stricture of arteryUse when stenosis is confirmed without atherosclerosis.
  • Imaging showing stenosis without atherosclerotic plaque
  • Blood pressure differential between arms
I70.8Atherosclerosis of other arteriesUse when stenosis is due to atherosclerosis.
  • Imaging showing atherosclerotic plaque
  • Elevated LDL levels

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 stenosis of subclavian artery

Essential facts and insights about Stenosis of Subclavian Artery

The ICD-10 code for non-atherosclerotic stenosis of the subclavian artery is I77.1, while atherosclerotic stenosis is coded as I70.8.

Primary ICD-10-CM Codes for stenosis of subclavian artery

Stricture of artery
Billable Code

Decision Criteria

clinical Criteria

  • Stenosis confirmed by imaging without atherosclerosis

documentation Criteria

  • Documented blood pressure differential

Applicable To

  • Non-atherosclerotic stenosis of subclavian artery

Excludes

  • Atherosclerosis of subclavian artery (I70.8)

Clinical Validation Requirements

  • Imaging showing stenosis without atherosclerotic plaque
  • Blood pressure differential between arms

Code-Specific Risks

  • Incorrectly coding atherosclerotic stenosis as non-atherosclerotic

Coding Notes

  • Ensure laterality is documented when coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Other transient cerebral ischemic attacks and related syndromes

G45.8
Use when subclavian steal syndrome is present.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Atherosclerosis of other arteries

I70.8
Presence of atherosclerotic plaque on imaging or high LDL levels.

Stricture of artery

I77.1
Absence of atherosclerotic plaque.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Stenosis of Subclavian Artery to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I77.1.

Impact

Clinical: Potential for misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Claims may be denied or delayed.

Mitigation Strategy

Implement checklist for documentation completeness.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Verify the presence of atherosclerosis and use I70.8 if confirmed.

Impact

Failure to document laterality can lead to audit issues.

Mitigation Strategy

Implement mandatory fields in EHR for laterality.

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 Stenosis of Subclavian Artery, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Stenosis of Subclavian Artery

Use these documentation templates to ensure complete and accurate documentation for Stenosis of Subclavian Artery. These templates include all required elements for proper coding and billing.

Non-atherosclerotic subclavian stenosis

Specialty: Vascular Surgery

Required Elements

  • Location of stenosis
  • Laterality
  • Hemodynamic impact
  • Imaging findings

Example Documentation

Patient presents with left arm claudication. Imaging shows 75% stenosis of the left subclavian artery without atherosclerotic plaque. BP differential of 20mmHg noted.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Subclavian stenosis noted.
Good Documentation Example
75% stenosis of left subclavian artery, non-atherosclerotic, with 20mmHg BP differential.
Explanation
The good example provides specific details on location, severity, and hemodynamic impact.

Need help with ICD-10 coding for Stenosis of Subclavian Artery? Ask your questions below.

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