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ICD-10 Coding for Celiac Artery Stenosis(I77.4)

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

Also known as:

Celiac Artery Compression SyndromeMedian Arcuate Ligament Syndromeceliac stenosis

Related ICD-10 Code Ranges

Complete code families applicable to Celiac Artery Stenosis

I77-I77.9Primary Range

Other disorders of arteries and arterioles

This range includes codes for various arterial disorders, including celiac artery stenosis.

Vascular disorders of intestine

This range is relevant when mesenteric ischemia is present due to celiac artery stenosis.

Key Information: ICD-10 code for celiac artery stenosis

Essential facts and insights about Celiac Artery Stenosis

The ICD-10 code for celiac artery stenosis is I77.4, applicable for both compression and non-compression causes.

Primary ICD-10-CM Code for celiac artery stenosis

Celiac artery compression syndrome
Billable Code

Decision Criteria

clinical Criteria

  • Stenosis confirmed by imaging and Doppler ultrasound.

documentation Criteria

  • Specify etiology and hemodynamic significance.

Applicable To

  • Celiac artery stenosis due to compression or other causes

Excludes

  • Congenital stenosis (Q27.8)
  • Vasculitis-related stenosis (M31.3)

Clinical Validation Requirements

  • Imaging showing ≥70% stenosis
  • Doppler ultrasound with PSV >200 cm/s

Code-Specific Risks

  • Potential denial if used for stent placement without coverage verification.

Coding Notes

  • Ensure documentation specifies the cause of stenosis.

Ancillary Codes

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

Acute vascular disorders of intestine

K55.0
Use when mesenteric ischemia is present.

Differential Codes

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

Atherosclerosis of other arteries

I70.8
Use if stenosis is explicitly due to atherosclerosis without compression.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Celiac Artery Stenosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I77.4.

Impact

Clinical: Inadequate assessment of stenosis severity., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Ensure Doppler ultrasound results are included., Document PSV and EDV values.

Impact

Reimbursement: Potential denial of claims if not properly documented., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data on the cause of stenosis.

Mitigation Strategy

Clarify etiology in documentation and verify with imaging.

Impact

Improper use of I77.4 for stent placement without verifying LCD coverage.

Mitigation Strategy

Check local coverage determinations before coding.

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 Celiac Artery Stenosis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Celiac Artery Stenosis

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

Celiac Artery Stenosis with Stent Placement

Specialty: Vascular Surgery

Required Elements

  • Indication for procedure
  • Imaging findings
  • Symptoms and clinical correlation

Example Documentation

Indication: Postprandial pain x6 months, 12-lb weight loss. Imaging: CTA shows 90% ostial celiac stenosis (PSV 280 cm/s), no MAL compression. Plan: Celiac stent placement (37236) for symptomatic mesenteric ischemia.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Celiac artery narrowing noted on CTA.
Good Documentation Example
80% atherosclerotic stenosis of celiac origin with PSV 320 cm/s on duplex. Patient reports 15-lb weight loss and food fear. No median arcuate ligament involvement.
Explanation
The good example provides specific details on the stenosis, symptoms, and excludes compression.

Need help with ICD-10 coding for Celiac Artery Stenosis? Ask your questions below.

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