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Wiki Coding Carotid Plaque...

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vivekanandan srinivasan

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As per the ACR Coding Guidelines,
Coding ICD-9cm for Bilateral Carotid Plaque was 433.10,433.30
but we do have some updates to code as only 433.30 for the condition.
can any one give your insight on this?
 
Carotid, basilar, and vertebral, by and large, belong to the group of PRECEREBRAL ARTERIES.
when the occlusion occurs in an individual artery , the corresponding code is appropriate. For eg, single carotid artery, I would assign 433.10.
If it invloves both sides ( bilateral), or in multiples, I would assign 433.30.
This seeme to be appropriate and reasonable clinically, and risk adjustment group categorization too.
Thank you for the opportunity to ponder
 
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