Please note this question was answered in 2021. The coding advice may or may not be outdated.
PAD with Leg Pain
Date: Apr 2, 2021
Question:
What diagnosis code do you use if the only reason for the test is PAD with right leg pain? After angio only minimal atherosclerosis is identified in calf arteries and no intervention is done. The ABI was slightly abnormal, which lead to angio. Would you code atherosclerosis with claudication I70.211 or code I73.9 (PAD) with M79.604 ( right leg pain). We are debating if the word "claudication" needs to be used or is leg pain with abn. ABI and minimal atherosclerosis is enough to code the I70.211? Also, what code do you use for abnormal ABI?
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