ICD Code I73.89

ICD code I73.89 is used to identify other specified peripheral vascular diseases. This code is applied when a patient has a peripheral vascular condition that does not fall under more specific categories. Peripheral vascular diseases refer to disorders that affect blood vessels outside of the heart and brain, often leading to reduced blood flow to the limbs. This code helps healthcare providers document and track these less common vascular conditions for accurate diagnosis and treatment planning.

When considering the use of the ICD code for "Other specified peripheral vascular diseases," healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Intermittent Claudication: Patients may experience pain, cramping, or fatigue in the legs or buttocks during physical activity, which typically resolves with rest.

2. Rest Pain: Persistent pain in the lower extremities that occurs at rest, often worsening at night, indicating more severe vascular compromise.

3. Non-healing Ulcers or Wounds: Presence of chronic ulcers or wounds on the lower extremities that do not heal properly, suggesting inadequate blood supply.

4. Coldness in the Extremities: A noticeable difference in temperature between the affected limb and the rest of the body, often accompanied by a pale or bluish skin tone.

5. Decreased Pulses: Weak or absent pulses in the arteries of the legs or feet, detected through physical examination or Doppler ultrasound.

6. Tissue Necrosis or Gangrene: Development of dead tissue or gangrene in the extremities due to severe reduction in blood flow.

7. Leriche Syndrome: A specific condition characterized by claudication, impotence, and decreased femoral pulses, often due to aortoiliac occlusive disease.

8. Atypical Leg Pain: Pain in the legs that does not fit the classic pattern of claudication but is suspected to be of vascular origin.

9. Vascular Bruits: Audible vascular sounds detected over arteries, indicating turbulent blood flow due to narrowing or blockage.

10. History of Vascular Procedures: Patients with a history of vascular interventions, such as angioplasty or bypass surgery, who present with new or recurring symptoms.

These criteria should be considered in conjunction with a thorough patient history and appropriate diagnostic testing to ensure accurate coding and effective management of the condition.

For the ICD code I73.89, "Other specified peripheral vascular diseases," the relevant CPT codes that may be applicable include:

1. CPT 93922 - Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries.

2. CPT 93923 - Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries.

3. CPT 93924 - Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing.

4. CPT 93925 - Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study.

5. CPT 93926 - Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study.

6. CPT 93970 - Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study.

7. CPT 93971 - Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study.

These CPT codes are typically used for diagnostic and monitoring purposes related to peripheral vascular conditions. It's important for healthcare providers to select the appropriate CPT code based on the specific services rendered and the clinical context.

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