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ICD-10 Coding for Aortoiliac Atherosclerosis(I70.0, I70.23-)

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

Also known as:

Aortoiliac Occlusive DiseaseAortoiliac Arterial Disease

Related ICD-10 Code Ranges

Complete code families applicable to Aortoiliac Atherosclerosis

I70.0-I70.9Primary Range

Atherosclerosis

This range includes codes for atherosclerosis affecting various arteries, including the aorta and iliac arteries.

Peripheral vascular disease, unspecified

Used when documentation lacks specificity about the vessels involved.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I70.0Atherosclerosis of aortaUse when atherosclerosis is confirmed in the aorta without acute complications.
  • Imaging report confirming plaque in the aorta
  • Absence of acute complications like aneurysm
I70.23-Atherosclerosis of native arteries of extremities with intermittent claudicationUse when claudication is present with iliac artery atherosclerosis.
  • Documentation of claudication symptoms
  • Imaging showing iliac artery involvement

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 aortoiliac atherosclerosis

Essential facts and insights about Aortoiliac Atherosclerosis

The ICD-10 code for aortoiliac atherosclerosis is I70.0 for the aorta and I70.23- for iliac arteries with claudication.

Primary ICD-10-CM Codes for aortoiliac atherosclerosis

Atherosclerosis of aorta
Billable Code

Decision Criteria

clinical Criteria

  • Imaging confirms aortic plaque

coding Criteria

  • No acute complications present

Applicable To

  • Atherosclerosis of abdominal aorta
  • Atherosclerosis of thoracic aorta

Excludes

  • Aortic aneurysm (I71.-)

Clinical Validation Requirements

  • Imaging report confirming plaque in the aorta
  • Absence of acute complications like aneurysm

Code-Specific Risks

  • Confusion with aneurysm codes
  • Omitting imaging confirmation

Coding Notes

  • Ensure imaging confirms atherosclerosis without acute complications.

Ancillary Codes

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

Type 2 diabetes mellitus with peripheral angiopathy

E11.51
Use if diabetes is present and linked to vascular disease.

Non-pressure chronic ulcer of lower limb

L97.5-
Use if ulcers are present due to atherosclerosis.

Differential Codes

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

Arterial embolism and thrombosis of abdominal aorta

I74.09
Use for acute embolism or thrombosis, not for chronic atherosclerosis.

Peripheral vascular disease, unspecified

I73.9
Use only when specific vessel involvement is not documented.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Aortoiliac Atherosclerosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I70.0.

Impact

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

Mitigation Strategy

Train staff on documentation requirements, Use templates with prompts for laterality

Impact

Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation Strategy

Use I70.0 and I70.2- for chronic atherosclerosis without acute thrombosis.

Impact

Lack of specificity can lead to incorrect coding.

Mitigation Strategy

Ensure detailed documentation of vessel involvement and symptoms.

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

Documentation Templates for Aortoiliac Atherosclerosis

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

Vascular Surgery H&P

Specialty: Vascular Surgery

Required Elements

  • Patient history of claudication
  • Physical exam findings
  • Imaging results

Example Documentation

Patient reports bilateral buttock claudication at 50 meters, relieved by rest. CTA reveals 70% stenosis of infrarenal aorta and 80% stenosis of bilateral common iliac arteries.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has aortoiliac disease.
Good Documentation Example
Severe atherosclerosis of the infrarenal abdominal aorta and bilateral common iliac arteries, confirmed by CTA, with intermittent claudication.
Explanation
The good example specifies the vessels involved, confirms with imaging, and includes symptoms.

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

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