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Home/Diagnosis/ICD-10 Coding for Blocked Carotid Artery

ICD-10 Coding for Blocked Carotid Artery

I65.21
I65.22
I65.23

Complete ICD-10-CM coding and documentation guide for icd-10 coding for blocked carotid artery includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Carotid Artery Stenosis
Carotid Occlusion
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Key Information: ICD-10 Coding for Blocked Carotid Artery

Essential facts and insights about ICD-10 Coding for Blocked Carotid Artery

Use ICD-10 code I65.21 for occlusion and stenosis of right carotid artery, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Occlusion and stenosis of right carotid artery

Billable Code
I65.21
Billable

Diagnostic Criteria

clinical:
  • • Presence of >50% stenosis on imaging
documentation:
  • • Explicit mention of right carotid stenosis or occlusion

Applicable To

  • • Right carotid artery stenosis
  • • Right carotid artery occlusion

Important Notes

  • • Ensure laterality is clearly documented to avoid unspecified coding.

Occlusion and stenosis of left carotid artery

Billable Code
I65.22
Billable

Applicable To

  • • Left carotid artery stenosis
  • • Left carotid artery occlusion

Important Notes

  • • Ensure laterality is clearly documented to avoid unspecified coding.

Occlusion and stenosis of bilateral carotid arteries

Billable Code
I65.23
Billable

Applicable To

  • • Bilateral carotid artery stenosis
  • • Bilateral carotid artery occlusion

Important Notes

  • • Ensure bilateral involvement is clearly documented to avoid unspecified coding.

Cerebral infarction due to carotid stenosis

Non-Billable
I63.2-
Non-Billable

Applicable To

  • • Stroke due to carotid stenosis

Important Notes

  • • Ensure the infarction is causally linked to carotid stenosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

I70.8

Atherosclerosis of other arteries

Use if atherosclerosis is confirmed as the cause.

Frequently Asked Questions

What is the ICD-10 code for blocked carotid artery?

The ICD-10 code for blocked carotid artery depends on laterality: I65.21 for right, I65.22 for left, and I65.23 for bilateral stenosis or occlusion.

How is carotid stenosis documented?

Carotid stenosis should be documented with laterality, severity, and imaging confirmation, such as '70% stenosis of the left carotid artery on CTA.'

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