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ICD-10 Guide
ICD-10 CodesQ27.32

Q27.32

Billable

Arteriovenous malformation of vessel of lower limb

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q27.32 is a billable code used to indicate a diagnosis of arteriovenous malformation of vessel of lower limb.

Key Diagnostic Point:

Arteriovenous malformation (AVM) of the lower limb is a congenital vascular anomaly characterized by an abnormal connection between arteries and veins, bypassing the capillary system. This condition can lead to various complications, including pain, swelling, and potential ischemia due to altered blood flow dynamics. AVMs can present at birth or develop later in life, and their severity can vary widely. In pediatric patients, the diagnosis may be made through imaging studies such as ultrasound, MRI, or angiography. Treatment options may include observation, embolization, or surgical resection, depending on the size and symptoms of the malformation. Early diagnosis and management are crucial to prevent complications and improve outcomes for affected children.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of AVMs
  • Need for precise imaging documentation
  • Differentiation from other vascular anomalies
  • Potential for associated congenital conditions

Audit Risk Factors

  • Inadequate documentation of imaging studies
  • Failure to document associated symptoms
  • Misclassification of AVM severity
  • Inconsistent coding of related procedures

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes including growth and development assessments, imaging results, and treatment plans.

Common Clinical Scenarios

Pediatric patients presenting with limb swelling, pain, or unexplained vascular lesions.

Billing Considerations

Consideration of growth patterns and developmental milestones in relation to the AVM.

Genetics

Documentation Requirements

Family history of vascular anomalies, genetic testing results, and counseling notes.

Common Clinical Scenarios

Cases where AVMs are part of a genetic syndrome or associated with chromosomal abnormalities.

Billing Considerations

Understanding the genetic basis of AVMs and their potential hereditary nature.

Coding Guidelines

Inclusion Criteria

Use Q27.32 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's specifics and any associated procedures

Exclusion Criteria

Do NOT use Q27.32 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

37241CPT Code

Endovascular embolization of arteriovenous malformation

Clinical Scenario

Used in cases where embolization is indicated for symptomatic AVMs.

Documentation Requirements

Detailed procedural notes and imaging results.

Specialty Considerations

Pediatric considerations for sedation and monitoring during procedures.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    Congenital Vascular Malformations

Coding & Billing References

  • •
    Congenital Vascular Malformations

Frequently Asked Questions

What is the significance of coding Q27.32 accurately?

Accurate coding of Q27.32 is crucial for appropriate treatment planning and reimbursement. It ensures that the specific nature of the congenital malformation is recognized, which can impact clinical management and outcomes.