Find comprehensive information on Renal Artery Stenosis diagnosis, including clinical documentation requirements, ICD-10 codes (I70.1), medical coding guidelines, and healthcare resources. Learn about renal artery ultrasound, angiography, and other diagnostic procedures for accurate identification and treatment of renal artery narrowing. This resource covers renovascular hypertension management, symptoms, and the role of clinical findings in establishing a definitive diagnosis. Explore relevant information for healthcare professionals, including coding best practices for Renal Artery Stenosis and associated conditions.
Also known as
Renal artery stenosis
Narrowing of arteries supplying blood to the kidneys.
Atherosclerosis of renal artery
Hardening and narrowing of renal arteries due to plaque buildup.
Secondary hypertension
High blood pressure caused by an underlying condition, like renal artery stenosis.
Renal failure NOS
Kidney failure, unspecified, which can be a consequence of severe renal artery stenosis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the renal artery stenosis unilateral or bilateral?
Unilateral
Is it due to atherosclerosis?
Bilateral
Is it due to atherosclerosis?
When to use each related code
| Description |
|---|
| Renal artery narrowing reducing blood flow to kidney. |
| High blood pressure due to kidney disease. |
| Kidney failure due to reduced blood flow. |
Missing or incorrect laterality (right, left, bilateral) for renal artery stenosis impacts reimbursement and data accuracy. ICD-10-CM coding requires specificity.
Failing to code the underlying etiology of renal artery stenosis (e.g., atherosclerosis, fibromuscular dysplasia) can lead to inaccurate reporting and missed CC/MCC capture.
Properly distinguishing and coding atherosclerotic renal artery stenosis from non-atherosclerotic types is crucial for accurate quality reporting and risk adjustment.
Patient presents with complaints suggestive of renal artery stenosis including resistant hypertension, unexplained decline in renal function, or episodic flash pulmonary edema. Assessment reveals elevated blood pressure, potentially with asymmetric readings, and auscultation may reveal an abdominal bruit. Laboratory findings may indicate elevated creatinine and BUN, suggestive of renal insufficiency. Diagnostic workup for renal artery stenosis may include renal duplex ultrasonography, computed tomography angiography (CTA), magnetic resonance angiography (MRA), or invasive angiography. Differential diagnosis includes essential hypertension, chronic kidney disease, atherosclerotic renal artery disease, fibromuscular dysplasia, and renovascular hypertension. Treatment options for renal artery stenosis are determined based on disease severity and patient-specific factors. Medical management may involve antihypertensive medications, including ACE inhibitors, ARBs, or beta-blockers, and optimizing risk factors such as hyperlipidemia and diabetes. Interventional procedures such as percutaneous transluminal renal angioplasty (PTRA) with or without stenting may be considered for appropriate candidates. Surgical revascularization is reserved for complex cases or failed endovascular interventions. Patient education regarding medication adherence, lifestyle modifications, and follow-up care is essential for optimal management of renal artery stenosis.