tci ED Coding & Reimbursement Alert - 2023 Issue Q1

Reader Question: Use Anatomy Smarts to Code Carotid Artery Stenosis Confidently

Question: A patient is diagnosed with carotid artery stenosis in the left and right arteries. Should I report an ICD-10 code for each artery? And what are the other arterial stenosis conditions we might see in patients at our ED? Alaska Subscriber Answer: You should report a single ICD-10 code for two-sided instances of this condition: I65.23 (Occlusion and stenosis of bilateral carotid arteries). This code set also includes codes for right-sided carotid occlusion/stenosis, left-sided carotid occlusion/stenosis, and unspecified occlusion/stenosis. Array of occlusion/stenosis codes: There are several other types of occlusion/stenosis patients that might present to the ED...

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