ICD-10 Coding for Claudication of Both Lower Extremities(I70.213)
Complete ICD-10-CM coding and documentation guide for Claudication of Both Lower Extremities. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Claudication of Both Lower Extremities
I70.2-I70.29Primary Range
Atherosclerosis of arteries of extremities
This range includes codes for atherosclerosis affecting the arteries of the extremities, which is the primary cause of claudication in both lower extremities.
Type 2 diabetes mellitus with circulatory complications
Relevant when claudication is due to diabetic peripheral angiopathy.
Key Information: ICD-10 code for claudication of both lower extremities
Essential facts and insights about Claudication of Both Lower Extremities
Primary ICD-10-CM Code for claudication of both lower extremities
Decision Criteria
clinical Criteria
- Confirmed atherosclerosis via imaging or ABI
documentation Criteria
- Explicit mention of bilateral leg involvement
Applicable To
- Intermittent claudication due to atherosclerosis in both legs
Excludes
- Neurogenic claudication (M48.06)
Clinical Validation Requirements
- Ankle-Brachial Index (ABI) ≤0.9
- Imaging showing ≥50% stenosis in bilateral arteries
Code-Specific Risks
- Incorrect use if atherosclerosis is not confirmed
- Risk of audit if laterality is not specified
Coding Notes
- Ensure documentation specifies atherosclerosis as the cause of claudication.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Claudication of Both Lower Extremities to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I70.213.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Educate providers on the importance of specifying atherosclerosis, Implement EHR prompts for detailed documentation
Impact
Reimbursement: May lead to lower DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on patient condition and treatment.
Mitigation Strategy
Ensure documentation includes evidence of atherosclerosis.
Impact
Failure to document atherosclerosis as the cause of claudication can lead to audits.
Mitigation Strategy
Ensure all documentation includes evidence of atherosclerosis.
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 Claudication of Both Lower Extremities, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Claudication of Both Lower Extremities
Use these documentation templates to ensure complete and accurate documentation for Claudication of Both Lower Extremities. These templates include all required elements for proper coding and billing.
Vascular Surgery H&P
Specialty: Vascular SurgeryRequired Elements
- History of Present Illness
- Imaging Review
- Assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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