ICD-10 Coding for Peripheral Artery Disease with Claudication(I70.211, I70.213, I70.212)
Complete ICD-10-CM coding and documentation guide for Peripheral Artery Disease with Claudication. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Artery Disease with Claudication
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I70.211 | Atherosclerosis of native arteries of extremities with intermittent claudication, right leg | Use when atherosclerosis causes claudication in the right leg. |
|
| I70.213 | Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs | Use when atherosclerosis causes claudication in both legs. |
|
| I70.212 | Atherosclerosis of native arteries of extremities with intermittent claudication, left leg | Use when atherosclerosis causes claudication in the left leg. |
|
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 PAD with claudication
Essential facts and insights about Peripheral Artery Disease with Claudication
Primary ICD-10-CM Codes for pad with claudication
Decision Criteria
clinical Criteria
- Documented atherosclerosis and right leg claudication
Applicable To
- Right leg claudication due to atherosclerosis
Excludes
- Claudication due to non-atherosclerotic causes
Clinical Validation Requirements
- Documented atherosclerosis
- Right leg claudication symptoms
- ABI ≤0.90
Code-Specific Risks
- Assuming atherosclerosis without documentation
Coding Notes
- Ensure documentation specifies atherosclerosis and laterality.
I70.213 - Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
Use when atherosclerosis causes claudication in both legs.
Applicable To
- Bilateral leg claudication due to atherosclerosis
Excludes
- Claudication due to non-atherosclerotic causes
Clinical Validation Requirements
- Documented atherosclerosis
- Bilateral leg claudication symptoms
- ABI ≤0.90 bilaterally
Coding Notes
Ensure documentation specifies atherosclerosis and bilateral involvement.
I70.212 - Atherosclerosis of native arteries of extremities with intermittent claudication, left leg
Use when atherosclerosis causes claudication in the left leg.
Applicable To
- Left leg claudication due to atherosclerosis
Excludes
- Claudication due to non-atherosclerotic causes
Clinical Validation Requirements
- Documented atherosclerosis
- Left leg claudication symptoms
- ABI ≤0.90
Coding Notes
Ensure documentation specifies atherosclerosis and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.51Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Peripheral vascular disease, unspecified
I73.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Peripheral Artery Disease with Claudication to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I70.211.
Impact
Clinical: Inaccurate clinical records., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Always specify right, left, or bilateral in documentation., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding can lead to lower reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Query the provider to confirm if PAD is due to atherosclerosis.
Impact
Using I73.9 without confirming atherosclerosis can lead to audit issues.
Mitigation Strategy
Ensure documentation specifies atherosclerosis when present.
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 Peripheral Artery Disease with Claudication, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Artery Disease with Claudication
Use these documentation templates to ensure complete and accurate documentation for Peripheral Artery Disease with Claudication. These templates include all required elements for proper coding and billing.
Progress Note for PAD with Claudication
Specialty: CardiologyRequired Elements
- Atherosclerosis documentation
- Laterality specification
- Claudication distance
- ABI results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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