ICD-10 Coding for Vascular Insufficiency(I87.2, I73.9)
Complete ICD-10-CM coding and documentation guide for Vascular Insufficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vascular Insufficiency
I70-I79Primary Range
Diseases of arteries, arterioles, and capillaries
This range includes conditions related to vascular insufficiency, such as atherosclerosis and peripheral vascular disease.
Diseases of veins, lymphatic vessels, and lymph nodes, not elsewhere classified
This range covers venous insufficiency and related conditions like varicose veins and chronic venous hypertension.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I87.2 | Chronic venous insufficiency (CVI) (peripheral) | Use when chronic venous insufficiency is documented with supporting clinical evidence. |
|
| I73.9 | Peripheral vascular disease, unspecified | Use when peripheral vascular disease is documented but not specified. |
|
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 insufficiency
Essential facts and insights about Vascular Insufficiency
Primary ICD-10-CM Codes for vascular insufficiency
Decision Criteria
clinical Criteria
- Presence of chronic venous hypertension with documented reflux
Applicable To
- Chronic venous hypertension
Excludes
- Varicose veins of lower extremities (I83.-)
Clinical Validation Requirements
- Duplex ultrasound showing reflux >0.5 seconds
- CEAP classification C3-C6
Code-Specific Risks
- Misclassification without CEAP class documentation
Coding Notes
- Ensure CEAP classification is documented for accurate coding.
I73.9 - Peripheral vascular disease, unspecified
Use when peripheral vascular disease is documented but not specified.
Applicable To
- Peripheral angiopathy NOS
Excludes
- Atherosclerosis of extremities (I70.2-)
Clinical Validation Requirements
- Clinical documentation of peripheral vascular symptoms without specific etiology
Coding Notes
Avoid using unspecified codes when more specific codes are available.
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 Vascular Insufficiency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: Leads to incomplete clinical assessment., Regulatory: Increases risk of audit discrepancies., Financial: Potentially reduces reimbursement due to lack of specificity.
Mitigation Strategy
Educate clinicians on the importance of CEAP classification., Implement checklist for documentation completeness.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit failures., Data Quality: Affects accuracy of clinical data and reporting.
Mitigation Strategy
Ensure detailed clinical documentation to support specific coding.
Impact
High risk of audit due to use of unspecified codes without supporting documentation.
Mitigation Strategy
Encourage 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 Insufficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vascular Insufficiency
Use these documentation templates to ensure complete and accurate documentation for Vascular Insufficiency. These templates include all required elements for proper coding and billing.
Chronic Venous Insufficiency with Ulcer
Specialty: Vascular SurgeryRequired Elements
- History of present illness
- Physical examination findings
- Imaging results
- CEAP classification
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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