The documentation in the chart is what will determine the final code. PVD is a very specific condition and frequently is found in diabetic patients, which is the reason it is risk adjustable. CVD, or cerebral vascular disease, is generally a condition found in the brain, and although it may affect other areas, it is not primarily PVD, peripheral vascular disease, which presents as pain in the extremeties. It is best to code what is true to the documentation and not try to raise a risk score with a stretch of coding. It would not stand up in audit.
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