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Home/Diagnosis/ICD-10 Coding for Carotid Endarterectomy

ICD-10 Coding for Carotid Endarterectomy

I65.21
I65.22

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

Also Known as:
CEA
Carotid Artery Surgery
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Key Information: ICD-10 Coding for Carotid Endarterectomy

Essential facts and insights about ICD-10 Coding for Carotid Endarterectomy

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:
  • Stenosis ≥70% for symptomatic or ≥80% for asymptomatic cases
documentation:
  • Include imaging reports confirming stenosis

Applicable To

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

Important Notes

  • • Ensure documentation specifies the side and severity of stenosis.

Occlusion and stenosis of left carotid artery

Billable Code
I65.22
Billable

Diagnostic Criteria

clinical:
  • Stenosis ≥70% for symptomatic or ≥80% for asymptomatic cases
documentation:
  • Include imaging reports confirming stenosis

Applicable To

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

Important Notes

  • • Ensure documentation specifies the side and severity of stenosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z95.1

Presence of aortocoronary bypass graft

Use when there is concurrent coronary artery disease impacting surgical risk.

Frequently Asked Questions

What is the ICD-10 code for carotid endarterectomy?

The ICD-10 code for carotid endarterectomy is I65.21 for the right carotid artery and I65.22 for the left carotid artery, depending on the side of the procedure.

How is carotid endarterectomy documented?

Carotid endarterectomy documentation should include stenosis percentage, symptom status, and procedural details such as approach and closure method.

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