Wiki Coding Opinion: Intermittent claudication and DM type II

[kvillenurve]

Question: How would you code the following:

1. Claudication is documented in the patient assessment.
2. Diabetes type II is documented in the patient assessment.
3. There are no medications or test results to support peripheral angiopathy/peripheral vascular disease.
4. Claudication indexes to I73.9, and is considered as a symptom of Peripheral Vascular Disease or PVD. PVD also indexes to I73.9,
however, the term "claudication" itself is not listed under the ICD 10 Diabetes "with" manifestation list.
5. The term "claudication" is not considered a "peripheral angiopathy" and would not be linked to the DM type II based upon causal relationship.

Would it be correct to code DM type II "with" claudication as E11.51 or would it be correct to code E11.9 and I73.9?

 

[erjones147]

I would combine them to E11.51, depending on how fine you want to split hairs regarding "intermittent claudication" vs. "claudication NEC/NOS"

While claudication is not specifically mentioned in the Index as a diabetic complication, "intermittent claudication" is a synonymous term under I73.9 for peripheral angiopathy (which is listed in the index)