ICD-10 Coding for Peripheral Vascular Disease Unspecified(I73.9)
Complete ICD-10-CM coding and documentation guide for Peripheral Vascular Disease Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Vascular Disease Unspecified
I73.9Primary Range
Peripheral vascular disease, unspecified
Used when documentation lacks specificity regarding the type of peripheral vascular disease.
Diseases of arteries, arterioles, and capillaries
Includes specific conditions like atherosclerosis which may be related to PVD.
Type 2 diabetes mellitus with circulatory complications
Used when diabetes is documented as a causal factor for PVD.
Key Information: ICD-10 code for peripheral vascular disease unspecified
Essential facts and insights about Peripheral Vascular Disease Unspecified
Primary ICD-10-CM Code for peripheral vascular disease unspecified
Decision Criteria
clinical Criteria
- ABI ≤ 0.90 indicates PAD.
coding Criteria
- Use I73.9 when no specific type of PVD is documented.
documentation Criteria
- Document symptoms like claudication and any related conditions such as diabetes or ulcers.
Applicable To
- Intermittent claudication
- Peripheral angiopathy NOS
Clinical Validation Requirements
- ABI ≤ 0.90
- Doppler ultrasound showing >50% stenosis
Code-Specific Risks
- May lead to under-coding if more specific conditions like atherosclerosis are present but not documented.
Coding Notes
- Ensure documentation specifies the presence of ulcers or diabetes if applicable to avoid using unspecified codes.
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.-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 Vascular Disease Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I73.9.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement for diabetes-related complications.
Mitigation Strategy
Always check for diabetes in patients with PVD., Document diabetes status clearly in the medical record.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Document specific conditions like atherosclerosis or diabetes to use appropriate codes.
Impact
Risk of audits due to use of unspecified codes when more specific codes apply.
Mitigation Strategy
Ensure thorough documentation of all related conditions and symptoms.
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 Vascular Disease Unspecified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Vascular Disease Unspecified
Use these documentation templates to ensure complete and accurate documentation for Peripheral Vascular Disease Unspecified. These templates include all required elements for proper coding and billing.
Primary Care Visit for PVD
Specialty: Primary CareRequired Elements
- Patient history
- ABI results
- Presence of ulcers or diabetes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Peripheral Vascular Disease Unspecified? Ask your questions below.