ICD-10 Coding for Peripheral Vascular Disease(I70.2xx, E11.51, L97.x)
Complete ICD-10-CM coding and documentation guide for Peripheral Vascular Disease. 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
I70-I79Primary Range
Diseases of arteries, arterioles, and capillaries
Includes atherosclerosis and other peripheral vascular diseases affecting the extremities.
Type 2 diabetes mellitus with circulatory complications
Used when PVD is associated with diabetes mellitus.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
Used for documenting ulcers associated with PVD.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I70.2xx | Atherosclerosis of extremities | Use when atherosclerosis is confirmed with symptoms like claudication, rest pain, ulceration, or gangrene. |
|
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | Use when PVD is linked to diabetes without gangrene. |
|
| L97.x | Non-pressure chronic ulcer of lower limb, not elsewhere classified | Use to specify ulcer characteristics when associated with PVD. |
|
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 vascular disease
Essential facts and insights about Peripheral Vascular Disease
Primary ICD-10-CM Codes for peripheral vascular disease
Decision Criteria
clinical Criteria
- Presence of atherosclerosis confirmed by imaging or ABI.
documentation Criteria
- Detailed description of symptoms and ulcer characteristics if present.
Applicable To
- Atherosclerosis with intermittent claudication
- Atherosclerosis with rest pain
- Atherosclerosis with ulceration
- Atherosclerosis with gangrene
Clinical Validation Requirements
- ABI ≤ 0.90
- Duplex ultrasound showing >50% stenosis
- Ulcer measurement and location
Code-Specific Risks
- Incorrectly coding as I73.9 when atherosclerosis is documented
Coding Notes
- Ensure documentation specifies laterality and vessel type (native vs graft).
E11.51 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
Use when PVD is linked to diabetes without gangrene.
Applicable To
- Diabetic peripheral vascular disease without gangrene
Excludes
- Diabetic peripheral angiopathy with gangrene (E11.52)
Clinical Validation Requirements
- HbA1c > 6.5%
- Clinical documentation linking diabetes to PVD
Coding Notes
Ensure diabetes is documented as the cause of PVD.
L97.x - Non-pressure chronic ulcer of lower limb, not elsewhere classified
Use to specify ulcer characteristics when associated with PVD.
Applicable To
- Ulcer of lower limb due to atherosclerosis
Excludes
- Pressure ulcers (L89.x)
Clinical Validation Requirements
- Ulcer location and depth documented
- Associated with PVD or diabetes
Coding Notes
Ensure ulcer characteristics are fully documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of lower limb
L97.xDifferential 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 to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I70.2xx.
Impact
Clinical: Misleading clinical status of the patient., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use 'active atherosclerotic PVD with [symptoms]' instead of 'history of PVD.'
Impact
Reimbursement: Incorrect coding can lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data affecting patient records and statistics.
Mitigation Strategy
Use E11.51 or E11.52 depending on the presence of gangrene.
Impact
Reimbursement: Potential for denied claims due to insufficient documentation., Compliance: Failure to meet documentation standards., Data Quality: Incomplete patient records.
Mitigation Strategy
Document ulcer location and depth explicitly.
Impact
Using unspecified codes when specific codes are applicable.
Mitigation Strategy
Ensure detailed documentation and use of specific codes.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Vascular Disease
Use these documentation templates to ensure complete and accurate documentation for Peripheral Vascular Disease. These templates include all required elements for proper coding and billing.
Vascular Surgery H&P
Specialty: Vascular SurgeryRequired Elements
- Claudication distance and characteristics
- Rest pain details
- Ulceration location and depth
- Gangrene type and location
- Pulses and ABI measurements
- Imaging results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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