ICD-10 Coding for Small Vessel Ischemic Disease(I67.82)
Complete ICD-10-CM coding and documentation guide for Small Vessel Ischemic Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Small Vessel Ischemic Disease
I60-I69Primary Range
Cerebrovascular diseases
This range includes codes for various cerebrovascular conditions, including chronic ischemic diseases affecting small vessels.
Mental disorders due to known physiological conditions
Includes codes for vascular dementia, which can be a consequence of small vessel ischemic disease.
Key Information: ICD-10 code for small vessel ischemic disease
Essential facts and insights about Small Vessel Ischemic Disease
Primary ICD-10-CM Code for small vessel ischemic disease
Decision Criteria
clinical Criteria
- Presence of MRI-confirmed white matter hyperintensities
documentation Criteria
- Documented correlation between imaging findings and clinical symptoms
Applicable To
- Chronic cerebral small vessel ischemia
Excludes
- Acute ischemic stroke (I63.-)
Clinical Validation Requirements
- MRI showing white matter hyperintensities
- Clinical correlation with cognitive or motor symptoms
Code-Specific Risks
- Incorrectly using for acute ischemic events
Coding Notes
- Ensure MRI findings are documented and correlate with clinical symptoms.
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.
White matter disease, unspecified
R90.82Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Small Vessel Ischemic Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I67.82.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use specific clinical terms, Correlate symptoms with imaging findings
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of clinical data and patient records.
Mitigation Strategy
Use I67.82 when there is evidence of chronic ischemia and risk factors are documented.
Impact
Lack of detailed MRI documentation can lead to audit issues.
Mitigation Strategy
Ensure all MRI findings are detailed and correlate with clinical 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 Small Vessel Ischemic Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Small Vessel Ischemic Disease
Use these documentation templates to ensure complete and accurate documentation for Small Vessel Ischemic Disease. These templates include all required elements for proper coding and billing.
Chronic cerebral small vessel ischemic disease
Specialty: NeurologyRequired Elements
- MRI findings
- Clinical symptoms
- Risk factors
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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