Abdominal aortic aneurysm, without rupture. I71.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I71.4 became effective on October 1, 2021.
Treatment
Types of Aneurysms
The ICD-10-CM code to support AAA screening is Z13. 6 Encounter for screening for cardiovascular disorders [abdominal aortic aneurysm (AAA)].
In most individuals, the diameter of the normal abdominal aorta is approximately 2.0 cm (range 1.4 to 3.0 cm). For practical purposes, an AAA is diagnosed when the aortic diameter exceeds 3.0 cm [1].
An abdominal aortic aneurysm should be differentiated from other causes of abdominal pain such as acute cholecystitis, gastrointestinal bleeding, perforated peptic ulcer, ischemic bowel, nephrolithiasis, pyelonephritis, appendicitis, cholelithiasis, large bowel obstruction, small bowel obstruction, pancreatitis, ...
ICD-10-CM Code for Abdominal aortic ectasia I77. 811.
Guidelines for surgical intervention include: Aneurysm size > 5 cm (about 2 inches) Aneurysm growth rate 0.5 cm (slightly less than 1/4 inch) over a period of six months to one year. Patient's ability to tolerate the procedure.
AAAs are grouped into 3 sizes: small AAA – 3cm to 4.4cm across. medium AAA – 4.5cm to 5.4cm across. large AAA – 5.5cm or more across.
EVAR has been adopted as the gold standard for patients with AAA anatomy that fit within the parameters recommended for available devices. Development over the coming years will expand to more complex anatomies but must include advances in issues such as sac management, fixation at the neck, and improvement of delivery ...
Smoking is the most common cause of an abdominal aortic aneurysm as well as many other health problems. Exercising daily can also be beneficial, as can lifestyle changes that help lower your blood pressure.
The most typical manifestation of rupture is abdominal or back pain with a pulsatile abdominal mass. However, the symptoms may be vague, and the abdominal mass may be missed. Symptoms may include groin pain, syncope, paralysis, and flank mass.
ICD-10-CM Diagnosis Code I71 I71.
An aortic aneurysm is a balloon-like bulge in the aorta, the large artery that carries blood from the heart through the chest and torso. Aortic aneurysms can dissect or rupture: The force of blood pumping can split the layers of the artery wall, allowing blood to leak in between them.
I71. 4 - Abdominal aortic aneurysm, without rupture | ICD-10-CM.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Once in a lifetime abdominal aortic aneurysm (AAA) screening is only covered under certain specified conditions. When billing for AAA screenings, the following ICD-10 codes should be billed: * Z13.6 for the encounter for screening for cardiovascular disorders and either ** The most appropriate code for tobacco usage: Z87.891, F17.210, F17.211, F17.213, F17.218 and F17.219 OR * Z84.89 for family history of other specified conditions Note: CPT® code 76706 is the only ultrasound service that is payable for AAA screening under Medicare services.
Palmetto GBA acknowledges that no current ICD-10 diagnosis code specifically describes the circumstance “ (II) is a man age 65 to 75 who has smoked at least 100 cigarettes in his lifetime;” as noted in the CMS Internet-Only Manual, Publication 100-04, Medicare Claims Processing Manual, Chapter 18, Section 110.2 and 110.3.2.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
A number of factors can play a role in the development of an aortic aneurysm, including: 1 Atherosclerosis (hardening of the arteries) – occurs when fat and other substances build up on the lining of a blood vessel. 2 Hypertension – High blood pressure can damage and weaken the walls of the aorta. 3 Blood vessel diseases – Cause the blood vessels to become inflamed. 4 Infection of the aorta – Rarely, bacterial or fungal infection causes AAA. 5 Trauma
Hypertension – High blood pressure can damage and weaken the walls of the aorta. Blood vessel diseases – Cause the blood vessels to become inflamed. Infection of the aorta – Rarely, bacterial or fungal infection causes AAA. Trauma.
The primary way of screening for AAA is with an abdominal ultrasound. This screening test is easy to perform, noninvasive, does not involve radiation, and is highly accurate in detecting AAA. The potential benefit of screening for AAA is detecting and repairing it before rupture, which requires emergency surgery and has a high mortality rate. The only potential harm of screening is related to the risks of surgical repair such as bleeding complications and death.#N#The U.S. Preventive Services Task Force recommendation applies to adults aged 50 years or older who do not have any signs or symptoms of AAA. Early detection of AAA can save lives.#N#Based on current evidence, the USPSTF concludes with moderate certainty that screening for AAA in men aged 65 to 75 years who have ever smoked is of moderate net benefit, even if they have no symptoms. For men aged 65 to 75 years who have never smoked, the USPSTF concludes with moderate certainty that screening is of small net benefit, and should be offered selectively based on medical history and risk factors. There is sufficient evidence that there is no net benefit of screening women who have never smoked and have no family history of AAA. For women aged 65 to 75 years who have ever smoked or have a family history of AAA, there is not enough evidence to adequately assess the balance of benefits and harms of screening for AAA.
Although the risk for rupture varies greatly by aneurysm size, the associated risk for death with rupture is as high as 81 percent . This is why it is imperative to screen those at risk, and once diagnosed, the size of a patient’s AAA should be monitored periodically.
The definition of AAA is a focal dilation of the abdominal aorta such that the diameter is greater than 3 cm or more than 50 percent larger than normal.
Smoking is the strongest predictor of AAA prevalence, growth, and rupture rates. There is a dose-response relationship, as greater smoking exposure is associated with an increased risk for AAA. Most aortic aneurysms do not cause symptoms until they rupture, which is why they are so dangerous.
Coding AAA Screening. Medicare covers a one-time AAA screening for beneficiaries with certain risk factors for AAA who have received a referral from their provider. There is no deductible or coinsurance/co-payment for the AAA ultrasound screening test. A patient is considered at risk if they have a family history of abdominal aortic aneurysms, ...