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Coding Opinion: Intermittent claudication and DM type II
1. Claudication is documented in the patient assessment.
2. Diabetes type II is documented in the patient assessment.
3. There are no medications or test results to support peripheral angiopathy/peripheral vascular disease.
4. Claudication indexes to I73.9, and is considered as a symptom of Peripheral Vascular Disease or PVD. PVD also indexes to I73.9,
however, the term "claudication" itself is not listed under the ICD 10 Diabetes "with" manifestation list.
5. The term "claudication" is not considered a "peripheral angiopathy" and would not be linked to the DM type II based upon causal relationship.
Would it be correct to code DM type II "with" claudication as E11.51 or would it be correct to code E11.9 and I73.9?