Atherosclerosis of native arteries of the extremities icd 10

Q: When a diabetic patient has arteriosclerotic peripheral artery disease (PAD), should an additional ICD-10-CM code be assigned from subcategory I70.2- (atherosclerosis of native arteries of extremities) to describe the affected vessel and laterality?

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FHIR Resource for ICD icd10I70202: Unspecified atherosclerosis of native arteries of extremities, left leg
What is atherosclerosis of native arteries of extremities?
What is the ICD
What is atherosclerosis of native arteries of extremities with intermittent claudication bilateral legs?
What is the ICD

A: Yes. According to Coding Clinic, Third Quarter 2018, you should assign ICD-10-CM code E11.51 (Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene) along with an additional code from subcategory I70.2- to fully capture the patient's condition.

A code from category I70.2- can only be reported when the documentation provides specificity about the atherosclerosis such as laterality, affected vessel, as well as additional manifestations of the disease (i.e., claudication, rest pain, etc.).

Keep in mind that according to the 2020 ICD-10-CM Official Guidelines for Coding and Reporting, multiple codes should not be used when the classification provides a combination code that clearly identifies all of the elements documented in the diagnosis.

“When the combination code lacks necessary specificity in describing the manifestation or complication, an additional code should be used as a secondary code,” the guidelines say.

Editor’s note: Sarah Humbert, RHIA, AHIMA-certified ICD-10-CM/PCS trainer, coding and compliance manager at KIWI-TEK LLC, and Temeka Davis, RHIT, coding manager at KIWI-TEK LLC, answered this question during HCPro’s webinar Simplify Complex ICD-10-CM Coding for Diabetes.

This answer was provided based on limited information. Be sure to review all documentation specific to your own individual scenario before determining appropriate code assignment.

Need expert advice? Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.

categoryCode : I70

diagnosisCode : 202

fullCode : I70202

abbreviatedDescription : Unsp athscl native arteries of extremities, left leg

fullDescription : Unspecified atherosclerosis of native arteries of extremities, left leg

categoryTitle : Atherosclerosis

billable : billable

FHIR Resource for ICD icd10I70202: Unspecified atherosclerosis of native arteries of extremities, left leg

{
  "identifier": [
    {
      "system": "http://hl7.org/fhir/sid/icd-10-cm",
      "use": "usual",
      "assigner": {
        "display": "World Health Organization (WHO)"
      },
      "value": "I70202"
    }
  ],
  "extension": [
    {
      "extension": [
        {
          "valueString": "I70",
          "url": "categoryCode"
        },
        {
          "valueString": "202",
          "url": "diagnosisCode"
        },
        {
          "valueString": "I70202",
          "url": "fullCode"
        },
        {
          "valueString": "Unsp athscl native arteries of extremities, left leg",
          "url": "abbreviatedDescription"
        },
        {
          "valueString": "Unspecified atherosclerosis of native arteries of extremities, left leg",
          "url": "fullDescription"
        },
        {
          "valueString": "Atherosclerosis",
          "url": "categoryTitle"
        },
        {
          "valueString": "billable",
          "url": "billable"
        }
      ],
      "url": "https://1up.health/dev/fhir/doc/extension/DataTypeCoding/icd"
    }
  ],
  "code": "I70202",
  "system": "http://hl7.org/fhir/sid/icd-10-cm",
  "display": "I70202,Unsp athscl native arteries of extremities, left leg",
  "id": "icd10I70202",
  "version": "2016",
  "resourceType": "DataTypeCoding"
}

I70202: Unspecified atherosclerosis of native arteries of extremities, left leg. 1uphealth is the most comprehensive resource to lookup and find ICD codes (international classification of diseases) and data online, from the years 2010-2021. ICD-10 or ICD-10-CM is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical international classification list by the World Health Organization (WHO). Medical search and APIs for ICD10, SNOMED, LOINC, NPIs and much more by 1upHealth.

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R94.31

Abnormal electrocardiogram [ECG] [EKG]

R01.0

Benign and innocent cardiac murmurs

R01.1

Cardiac murmur, unspecified

R42

Dizziness and Giddiness

I34.0

Nonrheumatic mitral (valve) insufficiency

I34.1

Nonrheumatic mitral (valve) prolapse

I34.2

Nonrheumatic mitral (valve) stenosis

I34.8

Other nonrheumatic mitral valve disorders

I34.9

Nonrheumatic mitral valve disorder, unspecified

G45.9

Transient cerebral ischemic attack, unspecified

R07.9

Chest pain, unspecified

I36.0

Nonrheumatic tricuspid (valve) stenosis

I36.1

Nonrheumatic tricuspid (valve) insufficiency

I36.2

Nonrheumatic tricuspid (valve) stenosis with insufficiency

I36.8

Other nonrheumatic tricuspid valve disorders

I36.9

Nonrheumatic tricuspid valve disorder, unspecified

I25.10

Atherosclerotic heart disease of native coronary artery without angina pectoris

I25.110

Atherosclerotic heart disease of native coronary artery with unstable angina pectoris

I25.111

Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm

I25.118

Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris

I25.119

Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris

I50.20

Unspecified systolic (congestive) heart failure

I50.30

Unspecified diastolic (congestive) heart failure

I50.32

Chronic diastolic (congestive) heart failure

I35.0

Nonrheumatic aortic (valve) stenosis

I35.1

Nonrheumatic aortic (valve) insufficiency

I35.2

Nonrheumatic aortic (valve) stenosis with insufficiency

I35.8

Other nonrheumatic aortic valve disorders

I35.9

Nonrheumatic aortic valve disorder, unspecified

I27.0

Primary pulmonary hypertension

I11.9

Hypertensive heart disease without heart failure

I37.0

Nonrheumatic pulmonary valve stenosis

I37.1

Nonrheumatic pulmonary valve insufficiency

I37.2

Nonrheumatic pulmonary valve stenosis with insufficiency

I37.8

Other nonrheumatic pulmonary valve disorders

I37.9

Nonrheumatic pulmonary valve disorder, unspecified

I48.0

Paroxysmal atrial fibrillation

I48.2

Chronic atrial fibrillation

I48.91

Unspecified atrial fibrillation

R06.00

Dyspnea, unspecified

R06.09

Other forms of dyspnea

R06.89

Other abnormalities of breathing

I51.9

Heart disease, unspecified

R00.0

Tachycardia, unspecified

I42.0

Dilated cardiomyopathy

I42.5

Other restrictive cardiomyopathy

I42.8

Other cardiomyopathies

I42.9

Cardiomyopathy, unspecified

I47.0

Re-entry ventricular arrhythmia

I47.2

Ventricular tachycardia

I25.2

Old myocardial infarction

I31.3

Pericardial effusion (noninflammatory)

I31.9

Disease of pericardium, unspecified

I48.1

Persistent atrial fibrillation

I48.3

Typical atrial flutter

I48.4

Atypical atrial flutter

I25.710

Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris

I25.711

Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.718

Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris

I25.719

Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris

I47.1

Supraventricular tachycardia

I49.2

Junctional premature depolarization

I49.8

Other specified cardiac arrhythmias

R00.1

Bradycardia, unspecified

I06.0

Rheumatic aortic stenosis

I07.0

Rheumatic tricuspid stenosis

I07.1

Rheumatic tricuspid insufficiency

I07.2

Rheumatic tricuspid stenosis and insufficiency

I07.8

Other rheumatic tricuspid valve diseases

I07.9

Rheumatic tricuspid valve disease, unspecified

I11.0

Hypertensive heart disease with heart failure

I44.4

Left anterior fascicular block

I44.5

Left posterior fascicular block

I45.0

Right fascicular block

I49.40

Unspecified premature depolarization

I49.5

Sick sinus syndrome

I49.9

Cardiac arrhythmia, unspecified

I77.810

Thoracic aortic ectasia

R06.82

Tachypnea, not elsewhere classified

R94.39

Abnormal result of other cardiovascular function study

I20.8

Other forms of angina pectoris

I20.9

Angina pectoris, unspecified

J80

Acute respiratory distress syndrome

R06.9

Unspecified abnormalities of breathing

R06.81

Apnea, not elsewhere classified

I70.209

Unspecified atherosclerosis of native arteries of extremities, unspecified extremity

I33.9

Acute and subacute endocarditis, unspecified

Z01.810

Encounter for preprocedural cardiovascular examination

I05.0

Rheumatic mitral stenosis

I05.1

Rheumatic mitral insufficiency

I05.2

Rheumatic mitral stenosis with insufficiency

I06.1

Rheumatic aortic insufficiency

I06.2

Rheumatic aortic stenosis with insufficiency

I09.89

Other specified rheumatic heart diseases

I08.0

Rheumatic disorders of both mitral and aortic valves

I08.8

Other rheumatic multiple valve diseases

I08.9

Rheumatic multiple valve disease, unspecified

What is atherosclerosis of native arteries of extremities?

Overview. Atherosclerosis of the extremities is a disease of the peripheral blood vessels that is characterized by narrowing and hardening of the arteries that supply the legs and feet. The narrowing of the arteries causes a decrease in blood flow.

What is the ICD

Code	Description
I70.213	Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
I70.218	Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity
I70.221	Atherosclerosis of native arteries of extremities with rest pain, right leg

Non-Invasive Peripheral Arterial Vascular Studies (A57593) - CMSwww.cms.gov › medicare-coverage-database › view › articlenull

What is atherosclerosis of native arteries of extremities with intermittent claudication bilateral legs?

The main cause of intermittent claudication is a condition called peripheral artery disease (PAD). That condition happens with atherosclerosis, which is a buildup of a wax-like substance called plaque on the inside of your arteries. As that buildup gets worse, there's less room for blood to flow through those arteries.

What is the ICD

Atherosclerosis of native arteries of the extremities ICD-10-CM I70. 219 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0): 299 Peripheral vascular disorders with mcc.