ICD-10 Coding for Vascular Disease(I70.2, E11.51)
Complete ICD-10-CM coding and documentation guide for Vascular Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vascular Disease
I70-I79Primary Range
Diseases of arteries, arterioles and capillaries
This range includes codes for atherosclerosis, peripheral vascular disease, and related conditions.
Type 2 diabetes mellitus with circulatory complications
This range is used when diabetes is a contributing factor to vascular disease.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
This range is used for coding ulcers associated with vascular disease.
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 confirmed in native arteries of extremities. |
|
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | Use when diabetes is documented as contributing to peripheral vascular disease. |
|
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 vascular disease
Essential facts and insights about Vascular Disease
Primary ICD-10-CM Codes for vascular disease
Decision Criteria
clinical Criteria
- Presence of claudication, rest pain, or ulceration with confirmed atherosclerosis.
Applicable To
- Atherosclerosis of native arteries of extremities with claudication
- Atherosclerosis of native arteries of extremities with rest pain
- Atherosclerosis of native arteries of extremities with ulceration
- Atherosclerosis of native arteries of extremities with gangrene
Excludes
- Atherosclerosis of bypass graft of extremities (I70.3-)
Clinical Validation Requirements
- Angiography showing ≥50% stenosis
- Doppler ultrasound results
- Ankle-brachial index (ABI) ≤0.9
Code-Specific Risks
- Ensure laterality and specific artery involvement are documented.
Coding Notes
- Document specific artery, laterality, and any associated conditions like ulcers or gangrene.
E11.51 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
Use when diabetes is documented as contributing to peripheral vascular disease.
Applicable To
- Diabetic peripheral vascular disease
Excludes
- Diabetic peripheral angiopathy with gangrene (E11.52)
Clinical Validation Requirements
- HgbA1c >7%
- Monofilament testing <4/8 sites
- Absent pedal pulses
Coding Notes
Ensure linkage between diabetes and vascular disease is clearly 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 Vascular 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: Inaccurate treatment planning and risk stratification., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Train staff on documentation requirements., Use templates that prompt for necessary details.
Impact
Reimbursement: Reduced reimbursement due to lower specificity., Compliance: Potential for audit issues due to lack of specificity., Data Quality: Poor data quality affecting clinical decision-making.
Mitigation Strategy
Always document and code the specific artery and condition details.
Impact
Risk of audits due to use of unspecified codes.
Mitigation Strategy
Ensure detailed documentation and use of specific codes.
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 Vascular Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vascular Disease
Use these documentation templates to ensure complete and accurate documentation for Vascular Disease. These templates include all required elements for proper coding and billing.
Diabetic PVD with Ulcer
Specialty: Vascular SurgeryRequired Elements
- Patient history of diabetes
- Ulcer location and severity
- Vascular imaging results
- ABI measurements
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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