Learn about Common Iliac Artery Stenosis diagnosis, including clinical documentation and medical coding for Iliac Artery Narrowing and Iliac Stenosis. Find information on healthcare best practices related to Common Iliac Artery Stenosis and its effective management. This resource offers guidance for accurate medical coding and comprehensive clinical documentation of this vascular condition.
Also known as
Diseases of arteries, arterioles and capillaries
Covers various arterial diseases including stenosis and occlusion.
Peripheral arterial disease
Includes peripheral artery occlusive disease and stenosis.
Other specified peripheral vascular diseases
Encompasses less common peripheral vascular conditions.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the stenosis unilateral or bilateral?
Unilateral
Right or left iliac artery?
Bilateral
Code I70.213 Bilateral common iliac artery stenosis
When to use each related code
| Description |
|---|
| Narrowing of the main arteries in the pelvis. |
| Narrowing of the external iliac artery in the pelvis. |
| Narrowing of the internal iliac artery in the pelvis. |
Missing or incorrect laterality (right, left, bilateral) for iliac artery stenosis impacts reimbursement and data accuracy. CDI review crucial.
Unspecified stenosis severity (mild, moderate, severe) leads to coding ambiguity. Accurate documentation needed for proper ICD-10 and CPT coding.
Failure to document the underlying etiology (atherosclerosis, fibromuscular dysplasia) can affect risk adjustment and quality reporting. CDI should query.
Q: What are the key differential diagnoses to consider when a patient presents with suspected common iliac artery stenosis, and how can I distinguish between them?
A: Common iliac artery stenosis can mimic symptoms of other vascular conditions, making accurate diagnosis crucial. Key differential diagnoses include lumbar spinal stenosis, peripheral artery disease (PAD) affecting the femoropopliteal or tibial arteries, and chronic venous insufficiency. Distinguishing between these requires a thorough clinical evaluation, including a detailed patient history focusing on symptom onset, location, and character (e.g., claudication, rest pain). Physical examination should assess for diminished pulses, bruits, and skin changes. Non-invasive vascular testing like ankle-brachial index (ABI) measurement, duplex ultrasound, and CT angiography or MR angiography can help pinpoint the location and severity of arterial narrowing and differentiate between iliac artery stenosis and other vascular pathologies. Explore how advanced imaging modalities can aid in the diagnosis and characterization of iliac artery stenosis for optimal treatment planning.
Q: How does common iliac artery stenosis typically present clinically, and are there specific examination findings that increase suspicion for this diagnosis in patients experiencing leg pain or claudication?
A: Common iliac artery stenosis often presents with exertional leg pain or claudication, typically in the buttock, thigh, or calf, that resolves with rest. Patients may also experience weakness or numbness in the affected limb. In more severe cases, rest pain or even critical limb ischemia can occur. Specific examination findings that raise suspicion for common iliac artery stenosis include diminished or absent femoral, popliteal, or pedal pulses, bruits over the iliac arteries, cool skin temperature in the affected limb, and delayed capillary refill. Asymmetrical blood pressure readings between the arms and legs can also be indicative. Consider implementing a standardized vascular assessment protocol in your practice to ensure early identification and prompt management of common iliac artery stenosis. Learn more about the correlation between clinical presentation and disease severity in iliac artery stenosis.
Patient presents with symptoms suggestive of common iliac artery stenosis, including claudication, buttock pain, and lower extremity weakness during ambulation. Differential diagnoses considered included lumbar spinal stenosis, peripheral artery disease (PAD), and peripheral neuropathy. Physical examination revealed diminished femoral and distal pulses, along with a cool lower extremity. Ankle-brachial index (ABI) was obtained and measured 0.7, indicating significant lower extremity arterial insufficiency. Duplex ultrasound imaging of the lower extremities was performed and confirmed the diagnosis of common iliac artery stenosis, demonstrating significant narrowing of the right common iliac artery with peak systolic velocities consistent with greater than 70% stenosis. Given the patient's symptoms and imaging findings, conservative management with supervised exercise therapy and pharmacologic treatment with cilostazol was initially recommended. Risks and benefits of endovascular interventions, such as angioplasty and stenting, versus open surgical bypass procedures were discussed with the patient. Follow-up appointment was scheduled to monitor symptom progression and reassess treatment options. ICD-10 code I70.211, right common iliac artery stenosis, was assigned. CPT codes for the ultrasound and follow-up visit will be documented upon completion. Patient education materials on managing peripheral arterial disease and risk factor modification were provided.