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ICD-10 Coding for Vasculitis(I77.6, I77.8, L95.0)

Complete ICD-10-CM coding and documentation guide for Vasculitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

AngiitisArteritis

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Related ICD-10 Code Ranges

Complete code families applicable to Vasculitis

I77.6-I77.8Primary Range

Vasculitis and related disorders of arteries

Primary range for systemic vasculitis affecting various organs.

L95.0-L95.9

Vasculitis limited to the skin

Used for vasculitis conditions limited to the skin.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I77.6Arteritis, unspecifiedUse when vasculitis is systemic and no specific organ is involved.
  • Clinical documentation of systemic vasculitis without specific organ involvement.
I77.8Other specified disorders of arteries and arteriolesUse when vasculitis affects specific organs like the kidney or brain.
  • Organ-specific vasculitis confirmed by biopsy or imaging.
L95.0Livedoid vasculitisUse for vasculitis limited to the skin with livedoid pattern.
  • Biopsy confirmation of livedoid vasculitis.

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 vasculitis with organ involvement

Essential facts and insights about Vasculitis

Use ICD-10 code I77.8 for vasculitis affecting specific organs. Ensure documentation specifies the organ involved.

Primary ICD-10-CM Codes for vasculitis

I77.6
Arteritis, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Systemic vasculitis without specific organ involvement.

Applicable To

  • Systemic vasculitis without specific organ involvement

Excludes

  • Vasculitis limited to skin (L95.-)

Clinical Validation Requirements

  • Clinical documentation of systemic vasculitis without specific organ involvement.

Code-Specific Risks

  • Risk of using unspecified code when organ involvement is documented.

Coding Notes

  • Ensure documentation specifies systemic involvement without organ specificity.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Chronic kidney disease, unspecified

N18.9
Use if vasculitis causes renal impairment.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Vasculitis, unspecified

L95.9
Use L95.9 only if vasculitis is limited to the skin.

Arteritis, unspecified

I77.6
Use I77.6 if no specific organ involvement is documented.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Vasculitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I77.6.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Increases audit risk., Financial: Potential for denied claims.

Mitigation Strategy

Ensure ANCA results are included in documentation., Cross-check lab results with clinical notes.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Reduces accuracy of clinical data.

Mitigation Strategy

Ensure documentation specifies the organ affected by vasculitis.

Impact

Using unspecified codes when specific details are available.

Mitigation Strategy

Ensure detailed documentation of organ involvement.

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 Vasculitis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Vasculitis

Use these documentation templates to ensure complete and accurate documentation for Vasculitis. These templates include all required elements for proper coding and billing.

Rheumatology H&P for vasculitis

Specialty: Rheumatology

Required Elements

  • Chief complaint
  • History of present illness
  • ANCA results
  • Biopsy findings

Example Documentation

**CC**: 'Fatigue and palpable purpura on legs.' **HPI**: - Onset: 2 weeks progressive rash - ANCA: p-ANCA positive (MPO 45 IU) - Biopsy: Leukocytoclastic vasculitis with IgA deposits **Assessment**: IgA vasculitis (D69.2) with renal involvement (I77.8). **Plan**: Prednisone 60 mg daily + rituximab infusion.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has vasculitis.
Good Documentation Example
Necrotizing vasculitis of medium-sized vessels affecting the lower extremities, confirmed by skin biopsy (L95.1). ESR elevated to 85 mm/hr, CRP 12 mg/L.
Explanation
The good example provides specific clinical details and diagnostic confirmation.

Need help with ICD-10 coding for Vasculitis? Ask your questions below.

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