2025 ICD-10-CM code I70.22
(Active) Effective Date: N/A Diseases of the circulatory system - Diseases of arteries, arterioles and capillaries IX Feed
Atherosclerosis of native arteries of the extremities with rest pain.This includes chronic or critical limb ischemia of native arteries with rest pain.
Medical necessity for using this code relies on establishing the presence of atherosclerotic disease in the native arteries of the extremities causing rest pain. This must be supported by clinical findings and diagnostic testing that show significant impairment of blood flow, justifying the need for intervention to alleviate pain and prevent complications.
Diagnosis and management of atherosclerosis, including assessment of peripheral vascular disease and risk factors. This involves physical examination, reviewing patient history, ordering and interpreting diagnostic tests (e.g., ABI, Doppler ultrasound, angiography), and developing a treatment plan which may include lifestyle modifications, medication, or surgical intervention.
In simple words: Hardening and narrowing of the arteries in the limbs, causing pain even when at rest due to reduced blood flow.
Atherosclerosis of native arteries of the extremities with rest pain. Includes: chronic limb-threatening ischemia NOS of native arteries of extremities with rest pain, critical limb ischemia NOS of native arteries of extremities with rest pain.
Example 1: A 65-year-old male with a history of smoking and diabetes presents with persistent pain in his right leg even at rest. After examination and diagnostic testing (ABI), he is diagnosed with atherosclerosis of the native arteries of the right leg with rest pain., A 70-year-old female experiences severe pain in her left foot and toes, especially at night. She has decreased pulses in her left foot, and an angiogram reveals significant narrowing of the arteries in her left leg, confirming atherosclerosis with rest pain., A patient with a history of claudication now reports pain in the affected limb even when resting. This progression indicates worsening atherosclerosis and requires further evaluation and management to prevent serious complications.
Documentation should include details of the patient's symptoms (location, duration, character of pain), presence of intermittent claudication, results of physical examination (e.g., diminished pulses, skin changes), and diagnostic tests (e.g., ABI, Doppler ultrasound, angiography) to confirm the diagnosis and severity of the condition.
- Specialties:Cardiology, Vascular Surgery, Internal Medicine, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Independent Clinic