ICD-10 Coding for Aortoiliac Disease(I74.09)
Complete ICD-10-CM coding and documentation guide for Aortoiliac Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Aortoiliac Disease
I70-I79Primary Range
Diseases of arteries, arterioles and capillaries
This range includes aortoiliac occlusive disease and related conditions affecting the arteries.
Key Information: ICD-10 code for aortoiliac disease
Essential facts and insights about Aortoiliac Disease
Primary ICD-10-CM Code for aortoiliac disease
Decision Criteria
clinical Criteria
- Imaging shows thrombus in the aortic bifurcation.
documentation Criteria
- Document absent femoral pulses and imaging findings.
Applicable To
- Acute aortoiliac occlusion
- Leriche syndrome
Excludes
- Embolism and thrombosis of arteries of the lower extremities (I74.3)
Clinical Validation Requirements
- Imaging confirmation of aortic bifurcation occlusion
- Absent femoral pulses
Code-Specific Risks
- Confusion with I74.3 for lower extremity embolism
Coding Notes
- Ensure to document the exact location and nature of the occlusion.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Atherosclerosis of other arteries
I70.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Aortoiliac Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I74.09.
Impact
Clinical: Leads to misdiagnosis or incorrect treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Use specific terms like 'thrombosis' and 'bifurcation'., Include imaging and exam findings.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Confirm the location of the occlusion and use I74.09 for aortic bifurcation.
Impact
Failure to sequence atherosclerosis before thrombosis.
Mitigation Strategy
Educate coders on proper sequencing rules.
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 Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Aortoiliac Disease
Use these documentation templates to ensure complete and accurate documentation for Aortoiliac Disease. These templates include all required elements for proper coding and billing.
Chronic Leriche Syndrome
Specialty: Vascular SurgeryRequired Elements
- History of claudication
- Imaging results
- Physical exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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