ICD-10 Coding for Arterial Stenosis(I77.1, I65.21)
Complete ICD-10-CM coding and documentation guide for Arterial Stenosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Arterial Stenosis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I77.1 | Stricture of artery | Use when stenosis is noted without a more specific artery code. |
|
| I65.21 | Occlusion and stenosis of right carotid artery | Use for stenosis of the right carotid artery. |
|
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 arterial stenosis
Essential facts and insights about Arterial Stenosis
Primary ICD-10-CM Codes for arterial stenosis
Decision Criteria
clinical Criteria
- Imaging shows arterial narrowing without specific artery identification.
Applicable To
- Arterial stenosis
Excludes
- Atherosclerosis (I70.-)
Clinical Validation Requirements
- Imaging confirmed narrowing
- Weak pulses or claudication
Code-Specific Risks
- Risk of undercoding if specific artery is known.
Coding Notes
- Ensure documentation specifies the artery involved.
I65.21 - Occlusion and stenosis of right carotid artery
Use for stenosis of the right carotid artery.
Applicable To
- Right carotid stenosis
Excludes
- Cerebral infarction due to carotid stenosis (I63.231)
Clinical Validation Requirements
- Doppler ultrasound showing PSV >180 cm/sec
Coding Notes
Document laterality and percentage of stenosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Stenosis of coronary artery stent
T82.855ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Arterial Stenosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I77.1.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates that prompt for laterality., Review imaging reports for details.
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I65.21-I65.23 with laterality.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Educate staff on the importance of specificity.
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 Arterial Stenosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Arterial Stenosis
Use these documentation templates to ensure complete and accurate documentation for Arterial Stenosis. These templates include all required elements for proper coding and billing.
Carotid Artery Stenosis
Specialty: Vascular SurgeryRequired Elements
- History of present illness
- Imaging results
- Physical exam findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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