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

Complete ICD-10-CM coding and documentation guide for Subclavian Artery Stenosis. 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 Subclavian Artery Stenosis

I77-I79Primary Range

Other disorders of arteries and arterioles

This range includes codes for various arterial disorders, including stenosis of the subclavian artery.

Atherosclerosis

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

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 imaging confirms stenosis and symptoms are present.
  • Imaging confirms stenosis ≥50%
  • Symptoms include arm claudication, pulse deficit, or blood pressure differential >15 mmHg
I70.8Atherosclerosis of other arteriesUse when stenosis is confirmed to be atherosclerotic.
  • Documentation explicitly states 'atherosclerotic stenosis'
  • Imaging/lab confirmation (e.g., LDL >130 mg/dL)

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 subclavian artery stenosis

Essential facts and insights about Subclavian Artery Stenosis

The ICD-10 code for subclavian artery stenosis is I77.1, used when imaging confirms stenosis and symptoms are present.

Primary ICD-10-CM Codes for subclavian artery stenosis

Stricture of artery
Billable Code

Decision Criteria

clinical Criteria

  • Imaging confirms stenosis ≥50%

documentation Criteria

  • Symptoms include arm claudication, pulse deficit, or blood pressure differential >15 mmHg

Applicable To

  • Subclavian artery stenosis

Excludes

  • Atherosclerosis of subclavian artery (I70.8)

Clinical Validation Requirements

  • Imaging confirms stenosis ≥50%
  • Symptoms include arm claudication, pulse deficit, or blood pressure differential >15 mmHg

Code-Specific Risks

  • Incorrectly using I70.8 without proper documentation of atherosclerosis.

Coding Notes

  • Ensure laterality is documented for accurate coding.

Ancillary Codes

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

Other transient cerebral ischemic attacks

G45.8
Use for subclavian steal syndrome.

Differential Codes

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

Atherosclerosis of other arteries

I70.8
Use when stenosis is confirmed to be atherosclerotic.

Stricture of artery

I77.1
Use when stenosis is not specified as atherosclerotic.

Documentation & Coding Risks

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

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Fails to meet documentation standards., Financial: Potential for denied claims due to insufficient documentation.

Mitigation Strategy

Use specific clinical terms, Include detailed symptom descriptions

Impact

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

Mitigation Strategy

Query provider for etiology and provide LDL results.

Impact

Reimbursement: May affect DRG assignment and reimbursement., Compliance: Non-compliance with coding specificity requirements., Data Quality: Incomplete patient data.

Mitigation Strategy

Always document left/right for accurate coding.

Impact

Using I70.8 without confirming atherosclerotic etiology.

Mitigation Strategy

Require documentation of LDL levels and imaging confirmation.

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

Documentation Templates for Subclavian Artery Stenosis

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

Vascular surgery consultation for subclavian stenosis

Specialty: Vascular Surgery

Required Elements

  • Patient symptoms
  • Imaging results
  • PSV values
  • Blood pressure differential
  • Plan for intervention

Example Documentation

**Subjective**: 67F c/o left arm fatigue after 2-min use + 20mmHg BP differential. **Objective**: - Left radial pulse 1+, right 2+ - Doppler: Left subclavian PSV 340 cm/s, PSV ratio 3.2 - CTA: 80% proximal left subclavian stenosis (Image 1A) **Assessment**: Atherosclerotic left subclavian artery stenosis (I77.1, I70.8) **Plan**: Endovascular stenting (CPT 37205 + 75960)

Examples: Poor vs. Good Documentation

Poor Documentation Example
"Arm pain, needs stent"
Good Documentation Example
"Left arm claudication after 100m walk; angiographic 90% proximal left subclavian stenosis with PSV 380 cm/s; LDL 160 mg/dL"
Explanation
The good example provides specific clinical findings and diagnostic data supporting the need for intervention.

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

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