ICD-10 Coding for Peripheral Venous Disease(I87.2, I70.2-)
Complete ICD-10-CM coding and documentation guide for Peripheral Venous Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Venous Disease
I87-I89Primary Range
Other disorders of veins and lymphatic vessels
This range includes codes for chronic venous insufficiency and other venous disorders.
Type 2 diabetes mellitus
This range is used when diabetes is a contributing factor to peripheral venous disease.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I87.2 | Chronic venous insufficiency (CVI) of lower extremities | Use when there is documented chronic venous insufficiency with or without ulcers. |
|
| I70.2- | Atherosclerosis of native arteries of the extremities | Use when atherosclerosis is documented as the cause of peripheral vascular symptoms. |
|
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 venous disease
Essential facts and insights about Peripheral Venous Disease
Primary ICD-10-CM Codes for peripheral venous disease
Decision Criteria
clinical Criteria
- Presence of venous reflux and stasis changes
documentation Criteria
- Detailed description of ulcer location and severity
Applicable To
- Venous stasis ulcer
- Stasis dermatitis
Excludes
- Varicose veins of lower extremities (I83.-)
Clinical Validation Requirements
- Venous reflux >0.5 seconds on Doppler ultrasound
- Presence of stasis dermatitis or venous ulcers
Code-Specific Risks
- Ensure documentation specifies laterality and presence of ulcers.
Coding Notes
- Ensure to document the presence of stasis changes and any ulceration.
I70.2- - Atherosclerosis of native arteries of the extremities
Use when atherosclerosis is documented as the cause of peripheral vascular symptoms.
Applicable To
- Intermittent claudication
- Rest pain
Excludes
- Diabetic peripheral angiopathy (E11.51)
Clinical Validation Requirements
- Ankle-Brachial Index (ABI) ≤0.9
- Imaging showing arterial stenosis >50%
Coding Notes
Ensure to document the specific artery involved and symptoms like claudication.
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 Venous Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: May result in coding audits., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Always specify the type of vascular disease., Include detailed descriptions of symptoms and test results.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: May trigger audits due to lack of specificity., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Use I70.2- codes for specific atherosclerotic conditions.
Impact
Using I73.9 when specific conditions are documented.
Mitigation Strategy
Educate coders on the importance of specificity and proper code selection.
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 Venous Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Venous Disease
Use these documentation templates to ensure complete and accurate documentation for Peripheral Venous Disease. These templates include all required elements for proper coding and billing.
Diabetic patient with venous insufficiency and ulcers
Specialty: Vascular SurgeryRequired Elements
- Patient history
- Physical exam findings
- Diagnostic test results
- Management plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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