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ICD-10 Guide
ICD-10 CodesChapter 9: Diseases of the circulatory systemI75

I75

Non-billable

Atheroembolism

Chapter 9:Diseases of the circulatory system

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I75 is a used to indicate a diagnosis of atheroembolism.

Key Diagnostic Point:

Atheroembolism, classified under ICD-10 code I75, refers to the phenomenon where cholesterol crystals or atheromatous debris from atherosclerotic plaques dislodge and travel through the bloodstream, leading to occlusion of smaller arteries. This condition primarily affects the cardiovascular system, particularly the peripheral arteries, renal arteries, and cerebral arteries. Clinically, patients may present with symptoms such as limb ischemia, renal dysfunction, or transient ischemic attacks, depending on the site of embolization. The disease progression is often insidious, with patients experiencing intermittent claudication or acute ischemic events. Diagnostic considerations include imaging studies such as Doppler ultrasound, CT angiography, or MR angiography to visualize blood flow and identify occlusions. Laboratory tests may also be performed to evaluate lipid profiles and other cardiovascular risk factors. Early diagnosis and management are crucial to prevent severe complications, including limb loss or stroke.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation.
  • Treatment complexity: May involve medical management and surgical interventions.
  • Documentation requirements: Detailed clinical history and imaging results are necessary.
  • Coding specificity: Requires accurate identification of the embolic source and affected sites.

Audit Risk Factors

  • Common coding errors: Misidentification of the embolic source.
  • Documentation gaps: Incomplete clinical history or imaging reports.
  • Billing challenges: Denials due to lack of specificity or supporting documentation.

Specialty Focus

Medical Specialties

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Vascular Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Atheroembolism has significant clinical implications, as it can lead to serious complications such as limb ischemia, renal failure, and stroke. The condition is prevalent in populations with atherosclerotic disease, particularly among older adults and those with risk factors like diabetes and hypertension. Understanding the epidemiology of atheroembolism can inform healthcare utilization patterns and quality measures aimed at reducing cardiovascular morbidity and mortality.

ICD-9 vs ICD-10

Atheroembolism has significant clinical implications, as it can lead to serious complications such as limb ischemia, renal failure, and stroke. The condition is prevalent in populations with atherosclerotic disease, particularly among older adults and those with risk factors like diabetes and hypertension. Understanding the epidemiology of atheroembolism can inform healthcare utilization patterns and quality measures aimed at reducing cardiovascular morbidity and mortality.

Reimbursement & Billing Impact

Reimbursement considerations should account for the complexity of the condition and the interventions performed. Common denials may arise from insufficient documentation or lack of specificity in coding. It is crucial to ensure that all relevant clinical details are captured to support the medical necessity of the services provided. Adhering to coding best practices, including accurate code selection and thorough documentation, can mitigate billing challenges.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I75?

ICD-10 code I75 covers atheroembolism affecting various vascular territories, including the peripheral arteries, renal arteries, and cerebral arteries. It is important to document the specific site of embolism to ensure accurate coding.

When should I75 be used instead of related codes?

I75 should be used when there is clear evidence of atheroembolism due to atherosclerotic disease, particularly when embolic events are documented. It is differentiated from codes like I74, which may refer to other types of embolism.

What documentation supports I75?

Documentation supporting I75 should include clinical findings, imaging results showing embolic occlusion, and a clear history of atherosclerotic disease. Detailed notes on symptoms and treatment plans are also essential.