ICD-10 Coding for Coil Embolization of Lumbar Artery(I72.4, S35.032A)
Complete ICD-10-CM coding and documentation guide for Coil Embolization of Lumbar Artery. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coil Embolization of Lumbar Artery
I72-I79Primary Range
Other Diseases of Arteries, Arterioles, and Capillaries
This range includes codes for aneurysms and other vascular conditions that may require embolization.
Injury of Abdomen, Lower Back, Lumbar Spine, Pelvis and External Genitalia
This range includes codes for traumatic injuries that may necessitate embolization.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I72.4 | Aneurysm of artery of lower extremity | Use when embolization is performed for an aneurysm in the lumbar artery. |
|
| S35.032A | Injury of lumbar artery, initial encounter | Use when embolization is performed due to traumatic injury to the lumbar 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 coil embolization of lumbar artery
Essential facts and insights about Coil Embolization of Lumbar Artery
Primary ICD-10-CM Codes for coil embolization of lumbar artery
Decision Criteria
clinical Criteria
- Presence of a lumbar artery aneurysm confirmed by imaging
Applicable To
- Aneurysm of lumbar artery
Excludes
- Aneurysm of abdominal aorta (I71.3)
Clinical Validation Requirements
- CTA/MRA report specifying 'aneurysm'
- Size >10 mm in axial dimension
Code-Specific Risks
- Misclassification with other aneurysm codes
Coding Notes
- Ensure documentation specifies the aneurysm's location and size.
S35.032A - Injury of lumbar artery, initial encounter
Use when embolization is performed due to traumatic injury to the lumbar artery.
Clinical Validation Requirements
- Imaging showing active extravasation
- Clinical signs of hemorrhage
Coding Notes
Ensure documentation includes the nature of the injury and the embolization procedure.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family
36245Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation
37244Differential 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 Coil Embolization of Lumbar Artery to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I72.4.
Impact
Clinical: Incomplete procedural documentation., Regulatory: Non-compliance with coding guidelines., Financial: Potential denial of catheterization reimbursement.
Mitigation Strategy
Ensure all catheterizations are documented and coded., Review procedural notes for completeness.
Impact
Reimbursement: Incorrect code can lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use 37244 for active hemorrhage and 37242 for aneurysms without active bleeding.
Impact
Failure to document active bleeding can lead to audit issues.
Mitigation Strategy
Ensure all clinical indicators of bleeding are documented.
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 Coil Embolization of Lumbar Artery, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coil Embolization of Lumbar Artery
Use these documentation templates to ensure complete and accurate documentation for Coil Embolization of Lumbar Artery. These templates include all required elements for proper coding and billing.
Traumatic Lumbar Artery Bleeding
Specialty: Interventional RadiologyRequired Elements
- Clinical indication
- Access site
- Catheter type
- Embolic agents used
- Angiographic confirmation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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