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ICD-10 Coding for Angioplasty(047J3Z1, 047J3D1)

Complete ICD-10-CM coding and documentation guide for Angioplasty. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Percutaneous Transluminal AngioplastyBalloon Angioplasty

Related ICD-10 Code Ranges

Complete code families applicable to Angioplasty

047J3Z1-047J3D1Primary Range

ICD-10-PCS codes for angioplasty procedures

These codes cover the range of angioplasty procedures, including those with and without stent placement.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
047J3Z1Dilation of Left External Iliac Artery, Percutaneous ApproachUse when angioplasty is performed on the left external iliac artery without stent placement.
  • Documentation of angioplasty performed on left external iliac artery
  • Pre- and post-procedure stenosis percentages
047J3D1Dilation of Left External Iliac Artery with Drug-eluting Stent, Percutaneous ApproachUse when a drug-eluting stent is placed during angioplasty.
  • Documentation of stent placement
  • Type of stent used

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 angioplasty

Essential facts and insights about Angioplasty

The ICD-10 code for angioplasty without stent placement is 047J3Z1, while angioplasty with drug-eluting stent placement is coded as 047J3D1.

Primary ICD-10-CM Codes for angioplasty

Dilation of Left External Iliac Artery, Percutaneous Approach
Non-billable Code

Decision Criteria

clinical Criteria

  • Angioplasty performed without stent placement

Applicable To

  • Standalone angioplasty without stent

Excludes

  • Angioplasty with stent placement

Clinical Validation Requirements

  • Documentation of angioplasty performed on left external iliac artery
  • Pre- and post-procedure stenosis percentages

Code-Specific Risks

  • Incorrectly coding when a stent is placed

Coding Notes

  • Ensure documentation specifies no stent placement for this code.

Differential Codes

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

Dilation of Left External Iliac Artery with Drug-eluting Stent, Percutaneous Approach

047J3D1
Use when a drug-eluting stent is placed during the procedure.

Dilation of Left External Iliac Artery, Percutaneous Approach

047J3Z1
Use when no stent is placed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Angioplasty to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 047J3Z1.

Impact

Clinical: Inaccurate patient records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Use standardized templates for procedure notes., Ensure all procedural details are recorded.

Impact

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

Mitigation Strategy

Use the stent code only, as it supersedes the angioplasty code.

Impact

Inadequate documentation of stent type and placement can lead to audit issues.

Mitigation Strategy

Use detailed templates and ensure all procedural details are documented.

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 Angioplasty, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Angioplasty

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

Angioplasty with stent placement

Specialty: Cardiology

Required Elements

  • Access site
  • Balloon type/size
  • Pre/post stenosis percentages
  • Vessel laterality and name

Examples: Poor vs. Good Documentation

Poor Documentation Example
PTA done on right leg.
Good Documentation Example
6-French sheath placed in right CFA. Balloon angioplasty (4.0 x 40 mm DCB) performed on right SFA (90% stenosis). Post-dilation angiography shows <10% residual stenosis.
Explanation
The good example provides specific procedural details, including equipment used and outcomes, which are necessary for accurate coding.

Need help with ICD-10 coding for Angioplasty? Ask your questions below.

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