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Coding Carotid Plaque...

  1. Question Coding Carotid Plaque...
    Medical Coding Books
    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?

  2. Default
    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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