ICD-10 Coding for Peripheral Artery Disease(I70.211, I70.213)
Complete ICD-10-CM coding and documentation guide for Peripheral Artery Disease. 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
I70.2-I70.7Primary Range
Atherosclerosis of arteries of extremities
This range covers the specific atherosclerotic conditions affecting peripheral arteries, crucial for PAD coding.
Peripheral vascular disease, unspecified
Used when documentation lacks specificity regarding atherosclerosis or other specific conditions.
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 there is documented atherosclerosis with claudication in the right leg. |
|
| I70.213 | Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs | Use when there is documented atherosclerosis with claudication in both legs. |
|
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
Essential facts and insights about Peripheral Artery Disease
Primary ICD-10-CM Codes for pad
Decision Criteria
clinical Criteria
- ABI ≤0.9 and claudication symptoms
Applicable To
- Intermittent claudication due to atherosclerosis
Excludes
- Diabetic peripheral angiopathy (E11.51)
Clinical Validation Requirements
- ABI ≤0.9
- Documented claudication distance
Code-Specific Risks
- Incorrect use without documented atherosclerosis
Coding Notes
- Ensure documentation specifies atherosclerosis and symptoms.
I70.213 - Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
Use when there is documented atherosclerosis with claudication in both legs.
Applicable To
- Bilateral intermittent claudication due to atherosclerosis
Excludes
- Diabetic peripheral angiopathy (E11.51)
Clinical Validation Requirements
- ABI ≤0.9
- Documented bilateral claudication
Coding Notes
Ensure documentation specifies atherosclerosis and bilateral symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
L97.4Differential 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 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 treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always specify right, left, or bilateral involvement
Impact
Reimbursement: Potential underpayment due to less specific coding, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy in clinical data
Mitigation Strategy
Ensure documentation specifies atherosclerosis to use I70.x codes.
Impact
Failure to document atherosclerosis can lead to incorrect coding.
Mitigation Strategy
Implement mandatory fields in EHR for atherosclerosis documentation.
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 expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Artery Disease
Use these documentation templates to ensure complete and accurate documentation for Peripheral Artery Disease. These templates include all required elements for proper coding and billing.
Chronic ulceration with PAD
Specialty: Vascular SurgeryRequired Elements
- Ulcer location and size
- ABI results
- Atherosclerosis documentation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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