dballard2004
True Blue
What would be the correct ICD-10-CM code for right femorotibial occlusion, please? I am referencing the ICD-10-CM and ICD-10-PCS Coding Handbook, with Answers and this dx is listed in one of the examples for an inpatient admission.
Here is the scenario:
"A patient, who had peripheral vascular disease, came in for a second opinion about possible reconstruction of right femorotibial occlusive disease. An angiogram of the right lower extremity with low osmolar contrast demonstrated a peroneal vessel that would allow reconstruction. Following an evaluation, he was scheduled to undergo the procedure. However, because he had no other significant diseases or active cardiac ischemia, he was felt to be at low risk for a distal reconstruction. The patient was discharged prior to the procedure due to the development of an upper respiratory infection. The procedure was rescheduled for two weeks."
Discharge diagnoses: (1) Right femorotibial occlusion, (2) URI.
The book lists the correct ICD-10-CM codes as:
I74.3 (Embolism/thrombosis of arteries of the lower extremities)
J06.9 (URI, unspecified)
Z53.09 (Procedure not carried out because of other contraindication)
I agree with codes J06.9 and Z53.09, but how do you get I74.3 for the right femorotibial occlusion? We are having a debate with the coders about this. They think it should be code I70.201. Others say code I74.3 is correct.
Any insight would be appreciated. Thanks.
Here is the scenario:
"A patient, who had peripheral vascular disease, came in for a second opinion about possible reconstruction of right femorotibial occlusive disease. An angiogram of the right lower extremity with low osmolar contrast demonstrated a peroneal vessel that would allow reconstruction. Following an evaluation, he was scheduled to undergo the procedure. However, because he had no other significant diseases or active cardiac ischemia, he was felt to be at low risk for a distal reconstruction. The patient was discharged prior to the procedure due to the development of an upper respiratory infection. The procedure was rescheduled for two weeks."
Discharge diagnoses: (1) Right femorotibial occlusion, (2) URI.
The book lists the correct ICD-10-CM codes as:
I74.3 (Embolism/thrombosis of arteries of the lower extremities)
J06.9 (URI, unspecified)
Z53.09 (Procedure not carried out because of other contraindication)
I agree with codes J06.9 and Z53.09, but how do you get I74.3 for the right femorotibial occlusion? We are having a debate with the coders about this. They think it should be code I70.201. Others say code I74.3 is correct.
Any insight would be appreciated. Thanks.
