ICD-10 Coding for Buerger's Disease(I73.1)
Complete ICD-10-CM coding and documentation guide for Buerger's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Buerger's Disease
Key Information: ICD-10 code for Buerger's disease
Essential facts and insights about Buerger's Disease
Primary ICD-10-CM Code for buerger's disease
Decision Criteria
clinical Criteria
- Patient under 50, smoker, with distal ischemia and angiographic findings.
documentation Criteria
- Document negative autoimmune and diabetes tests.
Applicable To
- Buerger's disease
Clinical Validation Requirements
- Angiography showing distal segmental occlusions with corkscrew collaterals
- Negative autoimmune panel (ANA, RF, ANCA)
- Absence of diabetes mellitus and proximal atherosclerosis
Code-Specific Risks
- Incorrectly using I73.9 when Buerger's disease is confirmed.
Coding Notes
- Ensure documentation supports the use of I73.1 by confirming clinical criteria.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Buerger's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I73.1.
Impact
Clinical: Inaccurate assessment of risk factors., Regulatory: Non-compliance with documentation standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always document smoking history in patient notes., Use templates that prompt for tobacco use documentation.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on disease prevalence and treatment outcomes.
Mitigation Strategy
Query provider to confirm Buerger's disease and use I73.1.
Impact
Using unspecified codes when specific diagnosis is confirmed.
Mitigation Strategy
Implement regular training for coders on specific diagnosis criteria.
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 Buerger's Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Buerger's Disease
Use these documentation templates to ensure complete and accurate documentation for Buerger's Disease. These templates include all required elements for proper coding and billing.
Vascular Surgery Consultation
Specialty: Vascular SurgeryRequired Elements
- Patient history including smoking status.
- Angiography results.
- Exclusion of other conditions.
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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