T82.856D Stenosis of peripheral vascular stent, subsequent encounter

ICD10CM code

#### Name of the Condition
- Stenosis of Peripheral Vascular Stent, Subsequent Encounter (ICD-10 Code: T82.856D)

#### Summary
- Stenosis of a peripheral vascular stent refers to the narrowing of a stent placed in a peripheral blood vessel, which can impede blood flow. This resource focuses on subsequent encounters, indicating ongoing concerns following the initial treatment.

#### Causes
- The narrowing of the stent often results from scar tissue formation, inflammation, or restenosis (re-narrowing) due to factors such as plaque buildup or injury to the vessel wall.

#### Risk Factors
- Risk factors include a history of atherosclerosis, smoking, diabetes mellitus, high cholesterol, and high blood pressure. Patients with a previous stent placement are also at increased risk.

#### Symptoms
- Symptoms may include limb pain, claudication (pain on walking), decreased blood flow to extremities, or coolness and discoloration of the affected area.

#### Diagnosis
- Diagnosis often involves imaging tests such as Doppler ultrasound, CT angiography, or magnetic resonance angiography (MRA) to visualize blood flow and detect narrowing.

#### Treatment Options
- Treatment may include medications such as antiplatelets or anticoagulants to prevent clot formation, angioplasty to widen the narrowed area, or re-stenting. Surgical bypass may be considered in severe cases.

#### Prognosis and Follow-Up
- Regular follow-up with periodic imaging studies is crucial for monitoring stent patency. The prognosis varies but is better managed with timely intervention and adherence to treatment plans.

#### Complications
- Complications can include complete blockage of the blood vessel, leading to ischemia or limb-threatening conditions if not properly managed.

#### Lifestyle & Prevention
- Lifestyle changes like quitting smoking, maintaining a healthy diet, exercising, and managing chronic conditions like high blood pressure and diabetes can help prevent restenosis.

#### When to Seek Professional Help
- Seek immediate medical attention if experiencing severe pain, loss of pulse in the extremity, sudden coldness, or color changes in the affected limb.

#### Additional Resources
- American Heart Association: [heart.org](https://www.heart.org)
- Vascular Disease Foundation: [vasculardisease.org](https://www.vasculardisease.org)

#### Tips for Medical Coders
- Ensure accurate documentation specifying that this encounter is not the initial visit but a subsequent one.
- Verify that the narrowing specifically involves a peripheral vascular stent, and not a coronary or central stent.

Medical Policies and Guidelines for Stenosis of peripheral vascular stent, subsequent encounter

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