ICD-10 Coding for Peripheral Arterial Occlusive Disease(I70.213, I70.233)
Complete ICD-10-CM coding and documentation guide for Peripheral Arterial Occlusive Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Arterial Occlusive Disease
I70.2-I70.9Primary Range
Atherosclerosis of arteries of extremities
This range covers the primary codes for atherosclerosis affecting peripheral arteries, which is the main cause of PAOD.
Type 2 diabetes mellitus with peripheral angiopathy
These codes are used when PAOD is a complication of diabetes mellitus.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I70.213 | Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs | Use when patient presents with bilateral leg claudication due to atherosclerosis. |
|
| I70.233 | Atherosclerosis of native arteries of extremities with ulceration, bilateral legs | Use when patient has bilateral leg ulcers due to atherosclerosis. |
|
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 peripheral arterial occlusive disease
Essential facts and insights about Peripheral Arterial Occlusive Disease
Primary ICD-10-CM Codes for peripheral arterial occlusive disease
Decision Criteria
clinical Criteria
- Presence of claudication and ABI ≤0.90
Applicable To
- Atherosclerosis with claudication
Excludes
- Atherosclerosis of bypass graft
Clinical Validation Requirements
- ABI ≤0.90
- Intermittent claudication symptoms
Code-Specific Risks
- Ensure laterality is documented
- Avoid unspecified codes
Coding Notes
- Document specific symptoms and laterality to ensure accurate coding.
I70.233 - Atherosclerosis of native arteries of extremities with ulceration, bilateral legs
Use when patient has bilateral leg ulcers due to atherosclerosis.
Applicable To
- Atherosclerosis with ulceration
Excludes
- Atherosclerosis of bypass graft
Clinical Validation Requirements
- Ulceration present
- ABI ≤0.90
Coding Notes
Document ulcer specifics and link to atherosclerosis.
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 Peripheral Arterial Occlusive Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I70.213.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always assess and document the link between diabetes and vascular conditions.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Use specific I70 codes when atherosclerosis is documented.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Train staff on the importance of specific documentation and 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 Peripheral Arterial Occlusive Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Arterial Occlusive Disease
Use these documentation templates to ensure complete and accurate documentation for Peripheral Arterial Occlusive Disease. These templates include all required elements for proper coding and billing.
Vascular surgery consultation for PAOD
Specialty: Vascular SurgeryRequired Elements
- Patient history
- Symptom description
- Diagnostic test results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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