I74.5
Embolism and thrombosis of iliac artery
Clinical Classification Guidelines
Medical Intelligence & Overview
Embollism and thrombosis of the iliac artery refer to conditions where blood flow through the iliac artery is obstructed due to a blood clot (thrombosis) or an arterial blockage caused by a traveling clot (embolism). These conditions can impair blood circulation to the lower limbs and pelvis, leading to severe complications if not promptly treated. The iliac arteries are major blood vessels in the pelvis that supply blood to the legs and organs in the pelvis area.
Causes & Symptoms
Clinical Causes: Atherosclerosis (hardening of the arteries due to plaque buildup) Cardiac conditions that promote clot formation, such as atrial fibrillation Injury or trauma to the blood vessels Migration of blood clots from other parts of the body Vascular inflammation Hypercoagulable states (conditions that increase blood clotting tendency)
Key Symptoms: Sudden and sharp pain in the groin, thigh, or lower leg Coldness or paleness in the affected limb Weakness or numbness in the leg Dizziness or fainting if blood flow is severely reduced Swelling in the leg or groin Loss of pulse or reduced blood flow in the affected limb
Diagnostic & Treatment
Diagnosis Path: Doppler ultrasound to assess blood flow Computed tomography angiography (CTA) or magnetic resonance angiography (MRA) for detailed images of blood vessels Conventional angiography, which involves injecting contrast dye to visualize blood flow Physical examination to check for pulses, color, temperature, and swelling
Treatment Protocols: Anticoagulant medications (blood thinners) to prevent clot propagation Thrombolytic therapy, using medications to dissolve the clot Percutaneous thrombus removal or thrombectomy procedures Surgical bypass or endarterectomy to remove or bypass the blockage Managing underlying conditions, such as controlling blood pressure and cholesterol Lifestyle modifications to reduce risk factors
Clinical Advice & FAQs
Billing Guidance
Is I74.5 a billable ICD-10 code?
Yes, I74.5 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report I74.5?
Clinical documentation must specify the nature of Embolism and thrombosis of iliac artery and any associated comorbidities for accurate reporting.
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