DAberdale
New
I have been questioned regarding coding PVD 443.9 vs cerebral vascular disease 437.9 from a physician. He feels he can use PVD because intra-cranial atherosclerosis causing end organ damage certainly seems like PVD and can be coded as such vs cerebral vascular disease. Reasoning for this request is that PVD is a HCC dx for risk adjustment and CVD is not. Any thoughts out there? I'm thinking that CVD reflects the specificity of the disease and is the more accurate of the code between the two. Input greatly appreciated.