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2025 ICD-10-CM code I73.00

Raynaud's syndrome without gangrene.

Refer to the official ICD-10-CM coding guidelines for detailed instructions on coding Raynaud's syndrome.Ensure accurate documentation supports the diagnosis and the absence of gangrene.

Medical necessity for coding I73.00 is established by the presence of clinical findings consistent with Raynaud's syndrome without gangrene.The absence of gangrene differentiates this code from other related codes within the I70-I79 range.

Diagnosis of Raynaud's syndrome involves a thorough clinical evaluation, including a detailed history focusing on the pattern, triggers, and duration of symptoms.Physical examination may reveal color changes in the digits upon appropriate stimuli.Further investigations, such as antinuclear antibody testing, may be necessary to rule out secondary Raynaud's phenomenon.

IMPORTANT:Related codes include I73.01 (Raynaud's syndrome with gangrene) and other codes within the I70-I79 range depending on the specific circulatory disease present.Consider using additional codes if other conditions are present, such as underlying connective tissue disease.

In simple words: This code is for Raynaud's syndrome, a condition causing the fingers and toes to change color (pale, blue, or red) due to reduced blood flow. This specific code applies when there are no sores or dead tissue (gangrene).

This code classifies Raynaud's syndrome, a condition characterized by vasospasm in the extremities, specifically without the presence of gangrene.It is included under the broader category of diseases affecting arteries, arterioles, and capillaries.The diagnosis requires clinical findings consistent with episodic vasospasm, leading to color changes (pallor, cyanosis, rubor) in the digits, typically triggered by cold exposure or emotional stress. The absence of gangrene or tissue necrosis is crucial for this specific code.

Example 1: A 25-year-old female presents with episodic blanching and cyanosis of her fingers and toes, triggered by cold exposure.There is no evidence of ulcers or necrosis.Antinuclear antibody test is negative., A 40-year-old male with a history of systemic lupus erythematosus experiences painful episodes of digital ischemia and color changes. While the symptoms are consistent with Raynaud's, the underlying connective tissue disease needs to be addressed with additional coding., A 60-year-old female presents with symptoms suggestive of Raynaud's syndrome, but a physical examination reveals small ulcers on her fingertips, necessitating use of a different code (I73.01) due to the presence of gangrene.

Detailed history of symptom onset, frequency, duration, triggers (cold exposure, emotional stress), and associated symptoms.Physical examination documenting the color changes in the digits and presence or absence of ulcers or necrosis.Relevant laboratory results, such as antinuclear antibody titers, to assess for secondary Raynaud's phenomenon.

** Accurate coding requires careful differentiation between primary and secondary Raynaud's phenomenon.Secondary Raynaud's phenomenon is often associated with an underlying connective tissue disease or other medical conditions which may require additional coding.

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