Archive
API

LCD Reference Article Billing and Coding Article

Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies

A57593

Expand All | Collapse All
Draft Article
Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.

Document Note

Note History

Contractor Information

Article Information

General Information

Source Article ID
N/A
Article ID
A57593
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies
Article Type
Billing and Coding
Original Effective Date
11/01/2019
Revision Effective Date
10/01/2023
Revision Ending Date
N/A
Retirement Date
N/A
AMA CPT / ADA CDT / AHA NUBC Copyright Statement

CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Current Dental Terminology © 2023 American Dental Association. All rights reserved.

Copyright © 2023, the American Hospital Association, Chicago, Illinois. Reproduced with permission. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be copied without the express written consent of the AHA. AHA copyrighted materials including the UB‐04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816.

Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

CMS National Coverage Policy

Italicized font represents CMS national language/wording copied directly from CMS Manuals or CMS transmittals. Contractors are prohibited from changing national NCD language/wording.

Title XVIII of the Social Security Act section 1833 (e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.

Title XVIII of the Social Security Act section 1862 (a) (1) (A) allows coverage and payment of those items or services that are considered to be medically reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.

Title XVIII of the Social Security Act section 1862 (a) (1) (D) excludes Medicare payment for any expenses incurred for items or services that are investigational or experimental.

Title XVIII of the Social Security Act section 1862 (a) (7) excludes routine physical examinations and services from Medicare coverage.

42 CFR, Section 410.32 Diagnosis x-ray tests, diagnostic laboratory tests, and other diagnostic indicates that diagnostic tests may only be ordered by the treating physician (or other treating practitioner acting within the scope of his or her license and Medicare requirements) who furnishes a consultation or treats a beneficiary for a specific medical problem and who uses the results in the management of the beneficiary’s specific medical problem. Tests not ordered by the physician or other qualified non-physician provider who is treating the patient are not reasonable and necessary (42 CFR 411.15(k) (1).

42 CFR, Section 410.32 (b) Diagnostic x-ray and other diagnostic tests. (1) Basic rule … all diagnostic x-ray and other diagnostic tests covered under section 1861(s)(3) of the Act and payable under the physician fee schedule must be furnished under the appropriate level of supervision by a physician as defined in section 1861® of the Act. Services furnished without the required level of supervision are not reasonable and necessary. (42 CFR 411.15(k)(1)).

CMS Pub 100-02 Medicare Benefit Policy Manual, Chapter 15 – Covered Medical and Other Health Services, Section 80 – Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests.

CMS Pub 100-03 Medicare National Coverage Determinations (NCD) Manual, - Chapter 1 – Coverage Determinations Part 1, Section 20.14 – Plethysmography; and
Part 4 Sections
220.5 - Ultrasound Diagnostic Procedures,
220.11 – Thermography, and
300.1 - Obsolete or Unreliable Diagnostic Tests.

CMS Pub 100-04 Medicare Claims Processing Manual, Chapter 7 – SNF Part B Billing (Including Inpatient Part B and Outpatient Fee Schedule), Section 50 – Billing Part B Radiology Services and Other Diagnostic Procedures; and
Chapter 13 – Radiology Services and Other Diagnostic Procedures, Sections –
10.1 - Billing Part B Radiology Services and Other Diagnostic Procedures and
20 – Payment Conditions for Radiology Services.

CMS Pub 100-08, Medicare Program Integrity Manual, Chapter 13 – Local Coverage Determinations, Section 13.5.1 – Reasonable and Necessary Provisions in LCDs.

CMS Publication 100-09, Medicare Contractor Beneficiary and Provider Communications Manual, Chapter 5 - Correct Coding Initiative.

Article Guidance

Article Text

The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the related LCD.

Documentation
Adequate documentation is essential for high-quality patient care and to demonstrate the reasonableness and medical necessity of the study(ies). Documentation must support the criteria as described in the Coverage Indications, Limitations, and/or Medical Necessity section of this LCD. There should be a permanent record of the studies performed and the interpretation. The documentation should include a description of the studies performed and any contrast media and/or radiopharmaceuticals used. Any known significant patient reaction or complications should be recorded. Comparison with prior relevant studies needs to be addressed in the documentation along with both normal and abnormal findings. Variations from normal should be documented along with measurements. The report should address or answer any specific clinical questions. If there are factors that prevent answering the clinical questions, this should be explained in the documentation. Retention of the ultrasound examination images and final interpretation should be consistent both with clinical need and with relevant legal and local health care facility requirements.

If the provider of the study is other than the ordering/referring physician/nonphysician practitioner, that provider must maintain a copy of the test results and interpretation, along with copies of the ordering/referring physician/nonphysician practitioner’s order for the studies. This order is required to provide adequate diagnostic information to the performing provider. The physician/nonphysician practitioner must state the clinical indication/medical necessity for the study in his/her order for the test. The provider is responsible for ensuring the medical necessity of procedures and maintaining the medical record, which must be available to Medicare upon request. Results of all testing must be shared with the referring physician. Non-invasive vascular studies are medically reasonable and medically necessary only if the outcomes will be utilized in the clinical management of the patient.

Utilization Guidelines
Each patient’s condition and response to treatment must medically warrant the number of services reported for payment. Medicare requires the medical necessity for each study reported to be clearly documented in the patient’s medical record.

Frequency of follow-up studies will be carefully monitored for medical necessity and it is the responsibility of the physician/provider to maintain documentation of medical necessity in the patient’s medical record.

Generally, it is expected that noninvasive vascular studies would not be performed more than once in a year, excluding inpatient hospital (21) and emergency room (23) places of services.

Only one preoperative scan is considered reasonable and necessary for bypass surgery. If a more current preoperative scan is indicated for a patient with multiple comorbidities having difficulty being stabilized for surgery or a change in condition, the medical record would need to support the medical necessity of the second scan.

In the immediate post-operative period, patients may be studied if re-established pulses are lost, become equivocal, or if the patient develops related signs and/or symptoms of ischemia with impending repeat intervention.

The frequency of medically necessary follow-up noninvasive vascular studies post-angioplasty is dictated by the vascular distribution treated.

Pre-surgical conduit mapping of the radial artery(ies) should only be accompanied by vein-mapping studies when the arterial studies demonstrate a non-acceptable conduit, or an insufficient conduit is available for multiple bypass procedures.

Duplex scanning and physiologic studies may be reimbursed during the same encounter if the physiologic studies are abnormal and/or to evaluate vascular trauma, thromboembolic events or aneurysmal disease. The documentation must support the medical necessity.

Assessment of the Ankle brachial indices (ABI) only is considered part of the physical examination and is not covered according to Title XVIII of the Social Security Act section 1862 (a) (7) which excludes routine physical examinations and services from Medicare coverage.

Preventive and/or screening services unless covered in Statute are not covered by Medicare.

Response To Comments

Number Comment Response
1
N/A

Coding Information

Bill Type Codes

Code Description
999x Not Applicable
N/A

Revenue Codes

Code Description
N/A

CPT/HCPCS Codes

Expand All | Collapse All

Group 1

(7 Codes)
Group 1 Paragraph

N/A

 Group 1 Codes
Code Description
93922 LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER OR LOWER EXTREMITY ARTERIES, (EG, FOR LOWER EXTREMITY: ANKLE/BRACHIAL INDICES AT DISTAL POSTERIOR TIBIAL AND ANTERIOR TIBIAL/DORSALIS PEDIS ARTERIES PLUS BIDIRECTIONAL, DOPPLER WAVEFORM RECORDING AND ANALYSIS AT 1-2 LEVELS, OR ANKLE/BRACHIAL INDICES AT DISTAL POSTERIOR TIBIAL AND ANTERIOR TIBIAL/DORSALIS PEDIS ARTERIES PLUS VOLUME PLETHYSMOGRAPHY AT 1-2 LEVELS, OR ANKLE/BRACHIAL INDICES AT DISTAL POSTERIOR TIBIAL AND ANTERIOR TIBIAL/DORSALIS PEDIS ARTERIES WITH, TRANSCUTANEOUS OXYGEN TENSION MEASUREMENT AT 1-2 LEVELS)
93923 COMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER OR LOWER EXTREMITY ARTERIES, 3 OR MORE LEVELS (EG, FOR LOWER EXTREMITY: ANKLE/BRACHIAL INDICES AT DISTAL POSTERIOR TIBIAL AND ANTERIOR TIBIAL/DORSALIS PEDIS ARTERIES PLUS SEGMENTAL BLOOD PRESSURE MEASUREMENTS WITH BIDIRECTIONAL DOPPLER WAVEFORM RECORDING AND ANALYSIS, AT 3 OR MORE LEVELS, OR ANKLE/BRACHIAL INDICES AT DISTAL POSTERIOR TIBIAL AND ANTERIOR TIBIAL/DORSALIS PEDIS ARTERIES PLUS SEGMENTAL VOLUME PLETHYSMOGRAPHY AT 3 OR MORE LEVELS, OR ANKLE/BRACHIAL INDICES AT DISTAL POSTERIOR TIBIAL AND ANTERIOR TIBIAL/DORSALIS PEDIS ARTERIES PLUS SEGMENTAL TRANSCUTANEOUS OXYGEN TENSION MEASUREMENTS AT 3 OR MORE LEVELS), OR SINGLE LEVEL STUDY WITH PROVOCATIVE FUNCTIONAL MANEUVERS (EG, MEASUREMENTS WITH POSTURAL PROVOCATIVE TESTS, OR MEASUREMENTS WITH REACTIVE HYPEREMIA)
93924 NONINVASIVE PHYSIOLOGIC STUDIES OF LOWER EXTREMITY ARTERIES, AT REST AND FOLLOWING TREADMILL STRESS TESTING, (IE, BIDIRECTIONAL DOPPLER WAVEFORM OR VOLUME PLETHYSMOGRAPHY RECORDING AND ANALYSIS AT REST WITH ANKLE/BRACHIAL INDICES IMMEDIATELY AFTER AND AT TIMED INTERVALS FOLLOWING PERFORMANCE OF A STANDARDIZED PROTOCOL ON A MOTORIZED TREADMILL PLUS RECORDING OF TIME OF ONSET OF CLAUDICATION OR OTHER SYMPTOMS, MAXIMAL WALKING TIME, AND TIME TO RECOVERY) COMPLETE BILATERAL STUDY
93925 DUPLEX SCAN OF LOWER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS; COMPLETE BILATERAL STUDY
93926 DUPLEX SCAN OF LOWER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS; UNILATERAL OR LIMITED STUDY
93930 DUPLEX SCAN OF UPPER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS; COMPLETE BILATERAL STUDY
93931 DUPLEX SCAN OF UPPER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS; UNILATERAL OR LIMITED STUDY
N/A

CPT/HCPCS Modifiers

Expand All | Collapse All

Group 1

Group 1 Paragraph

N/A

 Group 1 Codes

N/A

N/A

ICD-10-CM Codes that Support Medical Necessity

Expand All | Collapse All

Group 1

(590 Codes)
Group 1 Paragraph

When CPT code 93926 is used to perform a limited study for a follow-up of bypass surgery, use the diagnosis code Z48.89 (encounter for other specified surgical aftercare).

For codes in the table below that require a 7th character, letter A initial encounter, D subsequent encounter or S sequela may be used.

 Group 1 Codes
Code Description
A48.0 Gas gangrene
E08.51 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene
E08.52 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene
E08.59 Diabetes mellitus due to underlying condition with other circulatory complications
E09.51 Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene
E09.52 Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene
E09.59 Drug or chemical induced diabetes mellitus with other circulatory complications
E10.51 Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.52 Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E10.59 Type 1 diabetes mellitus with other circulatory complications
E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.59 Type 2 diabetes mellitus with other circulatory complications
E13.51 Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
E13.52 Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.59 Other specified diabetes mellitus with other circulatory complications
G45.8 Other transient cerebral ischemic attacks and related syndromes
G54.0 Brachial plexus disorders
I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
I25.112 Atherosclerotic heart disease of native coronary artery with refractory angina pectoris
I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
I25.700 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris
I25.701 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm
I25.702 Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris
I25.708 Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris
I25.709 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris
I25.710 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
I25.711 Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.712 Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris
I25.718 Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
I25.720 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
I25.721 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.722 Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris
I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
I25.730 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
I25.731 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.732 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris
I25.738 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
I25.750 Atherosclerosis of native coronary artery of transplanted heart with unstable angina
I25.751 Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm
I25.752 Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris
I25.758 Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris
I25.760 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
I25.761 Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm
I25.762 Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris
I25.768 Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
I25.790 Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
I25.791 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.792 Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris
I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
I25.810 Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
I25.811 Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
I25.812 Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris
I25.85 Chronic coronary microvascular dysfunction
I70.0 Atherosclerosis of aorta
I70.201 Unspecified atherosclerosis of native arteries of extremities, right leg
I70.202 Unspecified atherosclerosis of native arteries of extremities, left leg
I70.203 Unspecified atherosclerosis of native arteries of extremities, bilateral legs
I70.208 Unspecified atherosclerosis of native arteries of extremities, other extremity
I70.211 Atherosclerosis of native arteries of extremities with intermittent claudication, right leg
I70.212 Atherosclerosis of native arteries of extremities with intermittent claudication, left leg
I70.213 Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
I70.218 Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity
I70.221 Atherosclerosis of native arteries of extremities with rest pain, right leg
I70.222 Atherosclerosis of native arteries of extremities with rest pain, left leg
I70.223 Atherosclerosis of native arteries of extremities with rest pain, bilateral legs
I70.228 Atherosclerosis of native arteries of extremities with rest pain, other extremity
I70.231 Atherosclerosis of native arteries of right leg with ulceration of thigh
I70.232 Atherosclerosis of native arteries of right leg with ulceration of calf
I70.233 Atherosclerosis of native arteries of right leg with ulceration of ankle
I70.234 Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot
I70.235 Atherosclerosis of native arteries of right leg with ulceration of other part of foot
I70.238 Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg
I70.241 Atherosclerosis of native arteries of left leg with ulceration of thigh
I70.242 Atherosclerosis of native arteries of left leg with ulceration of calf
I70.243 Atherosclerosis of native arteries of left leg with ulceration of ankle
I70.244 Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot
I70.245 Atherosclerosis of native arteries of left leg with ulceration of other part of foot
I70.248 Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg
I70.261 Atherosclerosis of native arteries of extremities with gangrene, right leg
I70.262 Atherosclerosis of native arteries of extremities with gangrene, left leg
I70.263 Atherosclerosis of native arteries of extremities with gangrene, bilateral legs
I70.268 Atherosclerosis of native arteries of extremities with gangrene, other extremity
I70.291 Other atherosclerosis of native arteries of extremities, right leg
I70.292 Other atherosclerosis of native arteries of extremities, left leg
I70.293 Other atherosclerosis of native arteries of extremities, bilateral legs
I70.298 Other atherosclerosis of native arteries of extremities, other extremity
I70.301 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg
I70.302 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, left leg
I70.303 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs
I70.308 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, other extremity
I70.401 Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg
I70.402 Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, left leg
I70.403 Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs
I70.408 Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity
I70.411 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, right leg
I70.412 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, left leg
I70.413 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.418 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, other extremity
I70.421 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, right leg
I70.422 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, left leg
I70.423 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, bilateral legs
I70.428 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, other extremity
I70.431 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh
I70.432 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of calf
I70.433 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle
I70.434 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.435 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot
I70.438 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.441 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh
I70.442 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of calf
I70.443 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of ankle
I70.444 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.445 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of foot
I70.448 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.461 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, right leg
I70.462 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, left leg
I70.463 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, bilateral legs
I70.468 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, other extremity
I70.491 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg
I70.492 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, left leg
I70.493 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs
I70.498 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity
I70.501 Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, right leg
I70.502 Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, left leg
I70.503 Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, bilateral legs
I70.508 Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, other extremity
I70.511 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, right leg
I70.512 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, left leg
I70.513 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.518 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, other extremity
I70.521 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, right leg
I70.522 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, left leg
I70.523 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, bilateral legs
I70.528 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, other extremity
I70.531 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh
I70.532 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of calf
I70.533 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of ankle
I70.534 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.535 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of foot
I70.538 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.541 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh
I70.542 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of calf
I70.543 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of ankle
I70.544 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.545 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of foot
I70.548 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.561 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, right leg
I70.562 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, left leg
I70.563 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs
I70.568 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, other extremity
I70.591 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, right leg
I70.592 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, left leg
I70.593 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, bilateral legs
I70.598 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, other extremity
I70.601 Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, right leg
I70.602 Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, left leg
I70.603 Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, bilateral legs
I70.608 Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, other extremity
I70.611 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, right leg
I70.612 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, left leg
I70.613 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.618 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, other extremity
I70.621 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, right leg
I70.622 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, left leg
I70.623 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, bilateral legs
I70.628 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, other extremity
I70.631 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of thigh
I70.632 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of calf
I70.633 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of ankle
I70.634 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.635 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of foot
I70.638 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.641 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of thigh
I70.642 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of calf
I70.643 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of ankle
I70.644 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.645 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of foot
I70.648 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.65 Atherosclerosis of nonbiological bypass graft(s) of other extremity with ulceration
I70.661 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, right leg
I70.662 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, left leg
I70.663 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs
I70.668 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, other extremity
I70.691 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, right leg
I70.692 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, left leg
I70.693 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, bilateral legs
I70.698 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, other extremity
I70.701 Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, right leg
I70.702 Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, left leg
I70.703 Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, bilateral legs
I70.708 Unspecified atherosclerosis of other type of bypass graft(s) of the extremities, other extremity
I70.711 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, right leg
I70.712 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, left leg
I70.713 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.718 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, other extremity
I70.721 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, right leg
I70.722 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, left leg
I70.723 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, bilateral legs
I70.728 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, other extremity
I70.731 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh
I70.732 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of calf
I70.733 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of ankle
I70.734 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.735 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of foot
I70.738 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.741 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of thigh
I70.742 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of calf
I70.743 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of ankle
I70.744 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.745 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of foot
I70.748 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.761 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, right leg
I70.762 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, left leg
I70.763 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, bilateral legs
I70.768 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, other extremity
I70.791 Other atherosclerosis of other type of bypass graft(s) of the extremities, right leg
I70.792 Other atherosclerosis of other type of bypass graft(s) of the extremities, left leg
I70.793 Other atherosclerosis of other type of bypass graft(s) of the extremities, bilateral legs
I70.798 Other atherosclerosis of other type of bypass graft(s) of the extremities, other extremity
I70.8 Atherosclerosis of other arteries
I70.92 Chronic total occlusion of artery of the extremities
I71.31 Pararenal abdominal aortic aneurysm, ruptured
I71.32 Juxtarenal abdominal aortic aneurysm, ruptured
I71.33 Infrarenal abdominal aortic aneurysm, ruptured
I71.41 Pararenal abdominal aortic aneurysm, without rupture
I71.42 Juxtarenal abdominal aortic aneurysm, without rupture
I71.43 Infrarenal abdominal aortic aneurysm, without rupture
I72.1 Aneurysm of artery of upper extremity
I72.3 Aneurysm of iliac artery
I72.4 Aneurysm of artery of lower extremity
I72.8 Aneurysm of other specified arteries
I73.00 Raynaud's syndrome without gangrene
I73.01 Raynaud's syndrome with gangrene
I73.1 Thromboangiitis obliterans [Buerger's disease]
I73.89 Other specified peripheral vascular diseases
I73.9* Peripheral vascular disease, unspecified
I74.09 Other arterial embolism and thrombosis of abdominal aorta
I74.2 Embolism and thrombosis of arteries of the upper extremities
I74.3 Embolism and thrombosis of arteries of the lower extremities
I74.5 Embolism and thrombosis of iliac artery
I74.8 Embolism and thrombosis of other arteries
I75.011 Atheroembolism of right upper extremity
I75.012 Atheroembolism of left upper extremity
I75.013 Atheroembolism of bilateral upper extremities
I75.021 Atheroembolism of right lower extremity
I75.022 Atheroembolism of left lower extremity
I75.023 Atheroembolism of bilateral lower extremities
I76 Septic arterial embolism
I77.0 Arteriovenous fistula, acquired
I77.1 Stricture of artery
I77.2 Rupture of artery
I77.3 Arterial fibromuscular dysplasia
I77.5 Necrosis of artery
I77.72 Dissection of iliac artery
I77.76 Dissection of artery of upper extremity
I77.77 Dissection of artery of lower extremity
I77.79 Dissection of other specified artery
I77.810 Thoracic aortic ectasia
I77.811 Abdominal aortic ectasia
I77.812 Thoracoabdominal aortic ectasia
I77.82 Antineutrophilic cytoplasmic antibody [ANCA] vasculitis
I77.89 Other specified disorders of arteries and arterioles
I96 Gangrene, not elsewhere classified
I97.410 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization
I97.418 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure
I97.42 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure
I97.610 Postprocedural hemorrhage of a circulatory system organ or structure following a cardiac catheterization
I97.618 Postprocedural hemorrhage of a circulatory system organ or structure following other circulatory system procedure
I97.620 Postprocedural hemorrhage of a circulatory system organ or structure following other procedure
I97.621 Postprocedural hematoma of a circulatory system organ or structure following other procedure
I97.622 Postprocedural seroma of a circulatory system organ or structure following other procedure
I97.630 Postprocedural hematoma of a circulatory system organ or structure following a cardiac catheterization
I97.631 Postprocedural hematoma of a circulatory system organ or structure following cardiac bypass
I97.638 Postprocedural hematoma of a circulatory system organ or structure following other circulatory system procedure
I97.640 Postprocedural seroma of a circulatory system organ or structure following a cardiac catheterization
I97.641 Postprocedural seroma of a circulatory system organ or structure following cardiac bypass
I97.648 Postprocedural seroma of a circulatory system organ or structure following other circulatory system procedure
L97.111 Non-pressure chronic ulcer of right thigh limited to breakdown of skin
L97.112 Non-pressure chronic ulcer of right thigh with fat layer exposed
L97.113 Non-pressure chronic ulcer of right thigh with necrosis of muscle
L97.114 Non-pressure chronic ulcer of right thigh with necrosis of bone
L97.115 Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis
L97.116 Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis
L97.118 Non-pressure chronic ulcer of right thigh with other specified severity
L97.121 Non-pressure chronic ulcer of left thigh limited to breakdown of skin
L97.122 Non-pressure chronic ulcer of left thigh with fat layer exposed
L97.123 Non-pressure chronic ulcer of left thigh with necrosis of muscle
L97.124 Non-pressure chronic ulcer of left thigh with necrosis of bone
L97.125 Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis
L97.126 Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis
L97.128 Non-pressure chronic ulcer of left thigh with other specified severity
L97.211 Non-pressure chronic ulcer of right calf limited to breakdown of skin
L97.212 Non-pressure chronic ulcer of right calf with fat layer exposed
L97.213 Non-pressure chronic ulcer of right calf with necrosis of muscle
L97.214 Non-pressure chronic ulcer of right calf with necrosis of bone
L97.215 Non-pressure chronic ulcer of right calf with muscle involvement without evidence of necrosis
L97.216 Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis
L97.218 Non-pressure chronic ulcer of right calf with other specified severity
L97.221 Non-pressure chronic ulcer of left calf limited to breakdown of skin
L97.222 Non-pressure chronic ulcer of left calf with fat layer exposed
L97.223 Non-pressure chronic ulcer of left calf with necrosis of muscle
L97.224 Non-pressure chronic ulcer of left calf with necrosis of bone
L97.225 Non-pressure chronic ulcer of left calf with muscle involvement without evidence of necrosis
L97.226 Non-pressure chronic ulcer of left calf with bone involvement without evidence of necrosis
L97.228 Non-pressure chronic ulcer of left calf with other specified severity
L97.311 Non-pressure chronic ulcer of right ankle limited to breakdown of skin
L97.312 Non-pressure chronic ulcer of right ankle with fat layer exposed
L97.313 Non-pressure chronic ulcer of right ankle with necrosis of muscle
L97.314 Non-pressure chronic ulcer of right ankle with necrosis of bone
L97.315 Non-pressure chronic ulcer of right ankle with muscle involvement without evidence of necrosis
L97.316 Non-pressure chronic ulcer of right ankle with bone involvement without evidence of necrosis
L97.318 Non-pressure chronic ulcer of right ankle with other specified severity
L97.321 Non-pressure chronic ulcer of left ankle limited to breakdown of skin
L97.322 Non-pressure chronic ulcer of left ankle with fat layer exposed
L97.323 Non-pressure chronic ulcer of left ankle with necrosis of muscle
L97.324 Non-pressure chronic ulcer of left ankle with necrosis of bone
L97.325 Non-pressure chronic ulcer of left ankle with muscle involvement without evidence of necrosis
L97.326 Non-pressure chronic ulcer of left ankle with bone involvement without evidence of necrosis
L97.328 Non-pressure chronic ulcer of left ankle with other specified severity
L97.411 Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin
L97.412 Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed
L97.413 Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle
L97.414 Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone
L97.415 Non-pressure chronic ulcer of right heel and midfoot with muscle involvement without evidence of necrosis
L97.416 Non-pressure chronic ulcer of right heel and midfoot with bone involvement without evidence of necrosis
L97.418 Non-pressure chronic ulcer of right heel and midfoot with other specified severity
L97.421 Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin
L97.422 Non-pressure chronic ulcer of left heel and midfoot with fat layer exposed
L97.423 Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle
L97.424 Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone
L97.425 Non-pressure chronic ulcer of left heel and midfoot with muscle involvement without evidence of necrosis
L97.426 Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis
L97.428 Non-pressure chronic ulcer of left heel and midfoot with other specified severity
L97.511 Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin
L97.512 Non-pressure chronic ulcer of other part of right foot with fat layer exposed
L97.513 Non-pressure chronic ulcer of other part of right foot with necrosis of muscle
L97.514 Non-pressure chronic ulcer of other part of right foot with necrosis of bone
L97.515 Non-pressure chronic ulcer of other part of right foot with muscle involvement without evidence of necrosis
L97.516 Non-pressure chronic ulcer of other part of right foot with bone involvement without evidence of necrosis
L97.518 Non-pressure chronic ulcer of other part of right foot with other specified severity
L97.521 Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin
L97.522 Non-pressure chronic ulcer of other part of left foot with fat layer exposed
L97.523 Non-pressure chronic ulcer of other part of left foot with necrosis of muscle
L97.524 Non-pressure chronic ulcer of other part of left foot with necrosis of bone
L97.525 Non-pressure chronic ulcer of other part of left foot with muscle involvement without evidence of necrosis
L97.526 Non-pressure chronic ulcer of other part of left foot with bone involvement without evidence of necrosis
L97.528 Non-pressure chronic ulcer of other part of left foot with other specified severity
L97.811 Non-pressure chronic ulcer of other part of right lower leg limited to breakdown of skin
L97.812 Non-pressure chronic ulcer of other part of right lower leg with fat layer exposed
L97.813 Non-pressure chronic ulcer of other part of right lower leg with necrosis of muscle
L97.814 Non-pressure chronic ulcer of other part of right lower leg with necrosis of bone
L97.815 Non-pressure chronic ulcer of other part of right lower leg with muscle involvement without evidence of necrosis
L97.816 Non-pressure chronic ulcer of other part of right lower leg with bone involvement without evidence of necrosis
L97.818 Non-pressure chronic ulcer of other part of right lower leg with other specified severity
L97.821 Non-pressure chronic ulcer of other part of left lower leg limited to breakdown of skin
L97.822 Non-pressure chronic ulcer of other part of left lower leg with fat layer exposed
L97.823 Non-pressure chronic ulcer of other part of left lower leg with necrosis of muscle
L97.824 Non-pressure chronic ulcer of other part of left lower leg with necrosis of bone
L97.825 Non-pressure chronic ulcer of other part of left lower leg with muscle involvement without evidence of necrosis
L97.826 Non-pressure chronic ulcer of other part of left lower leg with bone involvement without evidence of necrosis
L97.828 Non-pressure chronic ulcer of other part of left lower leg with other specified severity
L97.915 Non-pressure chronic ulcer of unspecified part of right lower leg with muscle involvement without evidence of necrosis
L97.916 Non-pressure chronic ulcer of unspecified part of right lower leg with bone involvement without evidence of necrosis
L97.918 Non-pressure chronic ulcer of unspecified part of right lower leg with other specified severity
L97.925 Non-pressure chronic ulcer of unspecified part of left lower leg with muscle involvement without evidence of necrosis
L97.926 Non-pressure chronic ulcer of unspecified part of left lower leg with bone involvement without evidence of necrosis
L97.928 Non-pressure chronic ulcer of unspecified part of left lower leg with other specified severity
M30.0 Polyarteritis nodosa
M30.1 Polyarteritis with lung involvement [Churg-Strauss]
M30.2 Juvenile polyarteritis
M30.3 Mucocutaneous lymph node syndrome [Kawasaki]
M30.8 Other conditions related to polyarteritis nodosa
M31.0 Hypersensitivity angiitis
M31.10 Thrombotic microangiopathy, unspecified
M31.11 Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA]
M31.19 Other thrombotic microangiopathy
M31.30 Wegener's granulomatosis without renal involvement
M31.31 Wegener's granulomatosis with renal involvement
M31.4 Aortic arch syndrome [Takayasu]
M31.5 Giant cell arteritis with polymyalgia rheumatica
M31.6 Other giant cell arteritis
M31.7 Microscopic polyangiitis
M31.8 Other specified necrotizing vasculopathies
M79.601 Pain in right arm
M79.602 Pain in left arm
M79.604 Pain in right leg
M79.605 Pain in left leg
M79.621 Pain in right upper arm
M79.622 Pain in left upper arm
M79.631 Pain in right forearm
M79.632 Pain in left forearm
M79.641 Pain in right hand
M79.642 Pain in left hand
M79.644 Pain in right finger(s)
M79.645 Pain in left finger(s)
M79.651 Pain in right thigh
M79.652 Pain in left thigh
M79.661 Pain in right lower leg
M79.662 Pain in left lower leg
M79.671 Pain in right foot
M79.672 Pain in left foot
M79.674 Pain in right toe(s)
M79.675 Pain in left toe(s)
R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems
R10.2 Pelvic and perineal pain
S45.011A Laceration of axillary artery, right side, initial encounter
S45.012A Laceration of axillary artery, left side, initial encounter
S45.091A Other specified injury of axillary artery, right side, initial encounter
S45.092A Other specified injury of axillary artery, left side, initial encounter
S45.111A Laceration of brachial artery, right side, initial encounter
S45.112A Laceration of brachial artery, left side, initial encounter
S45.191A Other specified injury of brachial artery, right side, initial encounter
S45.192A Other specified injury of brachial artery, left side, initial encounter
S45.211A Laceration of axillary or brachial vein, right side, initial encounter
S45.212A Laceration of axillary or brachial vein, left side, initial encounter
S45.291A Other specified injury of axillary or brachial vein, right side, initial encounter
S45.292A Other specified injury of axillary or brachial vein, left side, initial encounter
S45.311A Laceration of superficial vein at shoulder and upper arm level, right arm, initial encounter
S45.312A Laceration of superficial vein at shoulder and upper arm level, left arm, initial encounter
S45.391A Other specified injury of superficial vein at shoulder and upper arm level, right arm, initial encounter
S45.392A Other specified injury of superficial vein at shoulder and upper arm level, left arm, initial encounter
S45.811A Laceration of other specified blood vessels at shoulder and upper arm level, right arm, initial encounter
S45.812A Laceration of other specified blood vessels at shoulder and upper arm level, left arm, initial encounter
S45.891A Other specified injury of other specified blood vessels at shoulder and upper arm level, right arm, initial encounter
S45.892A Other specified injury of other specified blood vessels at shoulder and upper arm level, left arm, initial encounter
S45.911A Laceration of unspecified blood vessel at shoulder and upper arm level, right arm, initial encounter
S45.912A Laceration of unspecified blood vessel at shoulder and upper arm level, left arm, initial encounter
S45.991A Other specified injury of unspecified blood vessel at shoulder and upper arm level, right arm, initial encounter
S45.992A Other specified injury of unspecified blood vessel at shoulder and upper arm level, left arm, initial encounter
S55.011A Laceration of ulnar artery at forearm level, right arm, initial encounter
S55.012A Laceration of ulnar artery at forearm level, left arm, initial encounter
S55.091A Other specified injury of ulnar artery at forearm level, right arm, initial encounter
S55.092A Other specified injury of ulnar artery at forearm level, left arm, initial encounter
S55.111A Laceration of radial artery at forearm level, right arm, initial encounter
S55.112A Laceration of radial artery at forearm level, left arm, initial encounter
S55.119A Laceration of radial artery at forearm level, unspecified arm, initial encounter
S55.191A Other specified injury of radial artery at forearm level, right arm, initial encounter
S55.192A Other specified injury of radial artery at forearm level, left arm, initial encounter
S55.211A Laceration of vein at forearm level, right arm, initial encounter
S55.212A Laceration of vein at forearm level, left arm, initial encounter
S55.291A Other specified injury of vein at forearm level, right arm, initial encounter
S55.292A Other specified injury of vein at forearm level, left arm, initial encounter
S55.811A Laceration of other blood vessels at forearm level, right arm, initial encounter
S55.812A Laceration of other blood vessels at forearm level, left arm, initial encounter
S55.891A Other specified injury of other blood vessels at forearm level, right arm, initial encounter
S55.892A Other specified injury of other blood vessels at forearm level, left arm, initial encounter
S55.911A Laceration of unspecified blood vessel at forearm level, right arm, initial encounter
S55.912A Laceration of unspecified blood vessel at forearm level, left arm, initial encounter
S55.991A Other specified injury of unspecified blood vessel at forearm level, right arm, initial encounter
S55.992A Other specified injury of unspecified blood vessel at forearm level, left arm, initial encounter
S65.011A Laceration of ulnar artery at wrist and hand level of right arm, initial encounter
S65.012A Laceration of ulnar artery at wrist and hand level of left arm, initial encounter
S65.091A Other specified injury of ulnar artery at wrist and hand level of right arm, initial encounter
S65.092A Other specified injury of ulnar artery at wrist and hand level of left arm, initial encounter
S65.111A Laceration of radial artery at wrist and hand level of right arm, initial encounter
S65.112A Laceration of radial artery at wrist and hand level of left arm, initial encounter
S65.191A Other specified injury of radial artery at wrist and hand level of right arm, initial encounter
S65.192A Other specified injury of radial artery at wrist and hand level of left arm, initial encounter
S65.211A Laceration of superficial palmar arch of right hand, initial encounter
S65.212A Laceration of superficial palmar arch of left hand, initial encounter
S65.291A Other specified injury of superficial palmar arch of right hand, initial encounter
S65.292A Other specified injury of superficial palmar arch of left hand, initial encounter
S65.311A Laceration of deep palmar arch of right hand, initial encounter
S65.312A Laceration of deep palmar arch of left hand, initial encounter
S65.391A Other specified injury of deep palmar arch of right hand, initial encounter
S65.392A Other specified injury of deep palmar arch of left hand, initial encounter
S65.411A Laceration of blood vessel of right thumb, initial encounter
S65.412A Laceration of blood vessel of left thumb, initial encounter
S65.491A Other specified injury of blood vessel of right thumb, initial encounter
S65.492A Other specified injury of blood vessel of left thumb, initial encounter
S65.510A Laceration of blood vessel of right index finger, initial encounter
S65.511A Laceration of blood vessel of left index finger, initial encounter
S65.512A Laceration of blood vessel of right middle finger, initial encounter
S65.513A Laceration of blood vessel of left middle finger, initial encounter
S65.514A Laceration of blood vessel of right ring finger, initial encounter
S65.515A Laceration of blood vessel of left ring finger, initial encounter
S65.516A Laceration of blood vessel of right little finger, initial encounter
S65.517A Laceration of blood vessel of left little finger, initial encounter
S65.590A Other specified injury of blood vessel of right index finger, initial encounter
S65.591A Other specified injury of blood vessel of left index finger, initial encounter
S65.592A Other specified injury of blood vessel of right middle finger, initial encounter
S65.593A Other specified injury of blood vessel of left middle finger, initial encounter
S65.594A Other specified injury of blood vessel of right ring finger, initial encounter
S65.595A Other specified injury of blood vessel of left ring finger, initial encounter
S65.596A Other specified injury of blood vessel of right little finger, initial encounter
S65.597A Other specified injury of blood vessel of left little finger, initial encounter
S65.811A Laceration of other blood vessels at wrist and hand level of right arm, initial encounter
S65.812A Laceration of other blood vessels at wrist and hand level of left arm, initial encounter
S65.891A Other specified injury of other blood vessels at wrist and hand level of right arm, initial encounter
S65.892A Other specified injury of other blood vessels at wrist and hand level of left arm, initial encounter
S75.011A Minor laceration of femoral artery, right leg, initial encounter
S75.012A Minor laceration of femoral artery, left leg, initial encounter
S75.021A Major laceration of femoral artery, right leg, initial encounter
S75.022A Major laceration of femoral artery, left leg, initial encounter
S75.091A Other specified injury of femoral artery, right leg, initial encounter
S75.092A Other specified injury of femoral artery, left leg, initial encounter
S75.811A Laceration of other blood vessels at hip and thigh level, right leg, initial encounter
S75.812A Laceration of other blood vessels at hip and thigh level, left leg, initial encounter
S75.891A Other specified injury of other blood vessels at hip and thigh level, right leg, initial encounter
S75.892A Other specified injury of other blood vessels at hip and thigh level, left leg, initial encounter
S85.011A Laceration of popliteal artery, right leg, initial encounter
S85.012A Laceration of popliteal artery, left leg, initial encounter
S85.091A Other specified injury of popliteal artery, right leg, initial encounter
S85.092A Other specified injury of popliteal artery, left leg, initial encounter
S85.141A Laceration of anterior tibial artery, right leg, initial encounter
S85.142A Laceration of anterior tibial artery, left leg, initial encounter
S85.151A Other specified injury of anterior tibial artery, right leg, initial encounter
S85.152A Other specified injury of anterior tibial artery, left leg, initial encounter
S85.171A Laceration of posterior tibial artery, right leg, initial encounter
S85.172A Laceration of posterior tibial artery, left leg, initial encounter
S85.181A Other specified injury of posterior tibial artery, right leg, initial encounter
S85.182A Other specified injury of posterior tibial artery, left leg, initial encounter
S85.211A Laceration of peroneal artery, right leg, initial encounter
S85.212A Laceration of peroneal artery, left leg, initial encounter
S85.291A Other specified injury of peroneal artery, right leg, initial encounter
S85.292A Other specified injury of peroneal artery, left leg, initial encounter
S85.811A Laceration of other blood vessels at lower leg level, right leg, initial encounter
S85.812A Laceration of other blood vessels at lower leg level, left leg, initial encounter
S85.891A Other specified injury of other blood vessels at lower leg level, right leg, initial encounter
S85.892A Other specified injury of other blood vessels at lower leg level, left leg, initial encounter
S95.011A Laceration of dorsal artery of right foot, initial encounter
S95.012A Laceration of dorsal artery of left foot, initial encounter
S95.091A Other specified injury of dorsal artery of right foot, initial encounter
S95.092A Other specified injury of dorsal artery of left foot, initial encounter
S95.111A Laceration of plantar artery of right foot, initial encounter
S95.112A Laceration of plantar artery of left foot, initial encounter
S95.191A Other specified injury of plantar artery of right foot, initial encounter
S95.192A Other specified injury of plantar artery of left foot, initial encounter
S95.211A Laceration of dorsal vein of right foot, initial encounter
S95.212A Laceration of dorsal vein of left foot, initial encounter
S95.291A Other specified injury of dorsal vein of right foot, initial encounter
S95.292A Other specified injury of dorsal vein of left foot, initial encounter
S95.811A Laceration of other blood vessels at ankle and foot level, right leg, initial encounter
S95.812A Laceration of other blood vessels at ankle and foot level, left leg, initial encounter
S95.891A Other specified injury of other blood vessels at ankle and foot level, right leg, initial encounter
S95.892A Other specified injury of other blood vessels at ankle and foot level, left leg, initial encounter
T80.1XXA Vascular complications following infusion, transfusion and therapeutic injection, initial encounter
T81.718A Complication of other artery following a procedure, not elsewhere classified, initial encounter
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.328A Displacement of other vascular grafts, initial encounter
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.338A Leakage of other vascular grafts, initial encounter
T82.392A Other mechanical complication of femoral arterial graft (bypass), initial encounter
T82.398A Other mechanical complication of other vascular grafts, initial encounter
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.520A Displacement of surgically created arteriovenous fistula, initial encounter
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.524A Displacement of infusion catheter, initial encounter
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.534A Leakage of infusion catheter, initial encounter
T82.535A Leakage of umbrella device, initial encounter
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.590A Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.591A Other mechanical complication of surgically created arteriovenous shunt, initial encounter
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.594A Other mechanical complication of infusion catheter, initial encounter
T82.595A Other mechanical complication of umbrella device, initial encounter
T82.598A Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.7XXA Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
T82.818A Embolism due to vascular prosthetic devices, implants and grafts, initial encounter
T82.828A Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.838A Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter
T82.848A Pain due to vascular prosthetic devices, implants and grafts, initial encounter
T82.858A Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter
T82.868A Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.898A Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter
T87.0X1 Complications of reattached (part of) right upper extremity
T87.0X2 Complications of reattached (part of) left upper extremity
T87.1X1 Complications of reattached (part of) right lower extremity
T87.1X2 Complications of reattached (part of) left lower extremity
Z01.810 Encounter for preprocedural cardiovascular examination
Z01.818 Encounter for other preprocedural examination
Z48.812 Encounter for surgical aftercare following surgery on the circulatory system
Z48.89 Encounter for other specified surgical aftercare
Z95.820 Peripheral vascular angioplasty status with implants and grafts
Z95.828 Presence of other vascular implants and grafts
Z98.62 Peripheral vascular angioplasty status
Group 1 Medical Necessity ICD-10-CM Codes Asterisk Explanation

*use for claudication and intermittent claudication
N/A

ICD-10-CM Codes that DO NOT Support Medical Necessity

Expand All | Collapse All

Group 1

Group 1 Paragraph

Diagnosis codes not listed above.

 Group 1 Codes

N/A

N/A

ICD-10-PCS Codes

Expand All | Collapse All

Group 1

Group 1 Paragraph

N/A

 Group 1 Codes

N/A

N/A

Additional ICD-10 Information

N/A

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the article should be assumed to apply equally to all claims.

Code Description
999x Not Applicable
N/A

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

Code Description
N/A

Other Coding Information

Expand All | Collapse All

Group 1

Group 1 Paragraph

N/A

 Group 1 Codes

N/A

N/A

Coding Table Information

Excluded CPT/HCPCS Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
N/A N/A
N/A
Non-Excluded CPT/HCPCS Ended Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
N/A

Revision History Information

Revision History Date Revision History Number Revision History Explanation
10/01/2023 R3

Posted 09/28/2023 Under ICD-10-CM Codes that Support Medical Necessity Group 1 Codes the following code was added: I25.85. The following code had a description change: I25.112. These updates were made due to the annual ICD-10-CM code update and are effective 10/01/2023. Review completed 09/05/2023.
10/01/2022 R2

Posted 09/29/2022 Under ICD-10-CM Codes that Support Medical Necessity Group 1 Codes the following codes were added: I25.112, I25.702, I25.712, I25.722, I25.732, I25.752, I25.762, I25.792, I71.31, I71.32, I71.33, I71.41, I71.42, I71.43 and I77.82. The following codes are deleted: I71.3 and I71.4. These updates were made due to the annual ICD-10-CM code update and are effective 10/01/2022.
10/01/2021 R1

10/01/2021 ICD-10 CM Code annual update. Under ICD-10 Codes that Support Medical Necessity Group 1: Codes Deleted M31.1. Added M31.10, M31.11, M31.19. Review completed 08/13/2021.
N/A

Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
SAD Process URL 1
N/A
SAD Process URL 2
N/A
Statutory Requirements URLs
N/A
Rules and Regulations URLs
N/A
CMS Manual Explanations URLs
N/A
Other URLs
N/A
Public Versions
Updated On Effective Dates Status
09/19/2023 10/01/2023 - N/A Currently in Effect You are here
09/21/2022 10/01/2022 - 09/30/2023 Superseded View
Some older versions have been archived. Please visit the MCD Archive Site to retrieve them.

Keywords

N/A

Read the Article Disclaimer

Submit Feedback/Ask a Question