Vascular surgeons diagnose and treat diseases of the arteries, veins, and lymphatic system. Precise ICD-10 coding for peripheral arterial disease, DVT, aneurysms, and venous insufficiency — combined with accurate procedural CPT coding — is essential for surgical reimbursement. This page covers the top codes used by vascular surgery practices in the US.
Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision
37221
Revascularization, endovascular, open or percutaneous, iliac artery
93971
Duplex scan of extremity veins; unilateral or limited study
37718
Ligation, division, and stripping, short saphenous vein
37241
Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage
99214
Office visit, established patient, moderate complexity
Peripheral artery disease codes (I70.2x–I70.7x) require specificity for laterality, the presence of claudication vs. rest pain, and whether an ulcer or gangrene is present.
Duplex scan codes (93971/93970 for extremity veins, 93925/93926 for extremity arteries) require documentation of vessel interrogation with spectral and color flow — report findings on a separate interpretation report.
DVT codes (I82.4xx) require specifying the vessel (femoral, popliteal, tibial) and laterality — I82.401 is unspecified DVT of the right femoral vein.
Aortic aneurysm codes distinguish between abdominal (I71.4) and thoracic (I71.2) — without rupture — and the ruptured versions (I71.3, I71.1).
What is the ICD-10 code for peripheral artery disease?
I70.213 is atherosclerosis of native arteries of the right leg with intermittent claudication. Codes in the I70.2x–I70.7x range specify laterality, rest pain, ulceration site, and gangrene. Use I73.9 (peripheral vascular disease, unspecified) only when specificity is not documented.
What is the ICD-10 code for varicose veins?
I83.90 is varicose veins of the unspecified lower extremity without complication. I83.10 includes inflammation. I83.01x includes ulceration of a specific site. Always specify the extremity (right/left) and complications when documented.
What CPT code is used for carotid endarterectomy?
35301 covers carotid thromboendarterectomy by neck incision. It includes any patch graft if performed. Percutaneous carotid stenting uses 37215 (with distal embolic protection) or 37216 (without). The operative note must specify the approach and technique.
What is the code for abdominal aortic aneurysm (AAA)?
I71.4 is AAA without rupture. I71.3 is ruptured AAA. For AAA repair, CPT 34800 covers endovascular aortic repair (EVAR) of an infrarenal aneurysm; 35082 covers open repair. Specify the approach in the operative report.
How does OmniMD support vascular surgery documentation?
OmniMD’s Vascular Surgery EHR includes procedure note templates for open and endovascular cases, integrated vascular lab result viewing, ABI/duplex report storage, and surgical scheduling with pre-authorization tracking.
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