Question

#3 Cardiology (2 diagnoses and 1 procedure) This 85-year-old man was brought to the ER by his family because of right sided blindness that lasted only a few minutes on one day but then occurred two more times on different day. The patient was admitted with a diagnosis of transient monocular blindness. The physician described his condition as a unilateral temporary blindness, also known as amaurosis fugax. After study, the physician documented that the underlying condition cause of the amaurosis fugax was carotid artery disease. As documented in the record, the physician explained to the patient that transient ischemia resulting from carotid artery disease affects the optic nerve and the retina and causes blindness. This may be seen as a warning of internal carotid disease. Carotid arteriography (plain radiography, no contrast) confirmed the presence of carotid artery stenosis and occlusion of both carotid arteries. The left carotid stenosis and occlusion was minor. The right carotid stenosis and occlusion was significant and thought to be the cause of the patient’s symptoms. The patient consented to a percutaneous endoscopic right internal endarterectomy and was discharged the next day in good condition.

I need to find 2 ICD-10 Diagnostic codes and 1 ICD-10 Procedure codes.

Answer 1

1)ICD-10-CM code for Amaurosis fugax is G45.3

2)ICD -10- CM code for Stenosis and occlusion of bilateral arteries is I65.23

3)ICD-10-PCS code for Carotid arteriography (plain radiography,no contrast) is B3181ZZ