Full Answer
Subject must be diagnosed with an infrarenal abdominal aortic aneurysm (AAA), with or without iliac artery involvement Subject must have an infrarenal AAA that is > 4.5 cm in diameter for males, or > 4.0 cm in diameter for females, or has increased in diameter by 0.5 cm in the last 6 months
Repair of abdominal aortic aneurysm (AAA) is one of the many procedures that a medical coding and billing company helps cardiovascular surgeons document, code and report. Aneurysms are the ballooning and weakening of the arterial wall and can occur along the entire length of the aorta.
Currently, endovascular aneurysm repair (EVAR) is the main treatment approach for the repair of infrarenal aortic aneurysms. EVAR involves inserting a graft into the lumen of the aorta to exclude the aneurysm sac.
The one-year incidence of rupture is 9 percent for aneurysms 5.5 to 6.0 cm in diameter, 10 percent for 6.0 to 6.9 cm, and 33 percent for AAAs of 7.0 cm or more. 8 Patients with an aneurysm less than 5.5 cm in diameter should have follow-up serial ultrasounds ( Table 2 7 ).
Abdominal aortic aneurysm, ruptured I71. 3 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. 3 became effective on October 1, 2021.
I71. 4 - Abdominal aortic aneurysm, without rupture | ICD-10-CM.
The aorta delivers oxygenated blood pumped from the heart to the rest of the body. The most common location of arterial aneurysm formation is the abdominal aorta, specifically, the segment of the abdominal aorta below the kidneys. An abdominal aneurysm located below the kidneys is called an infrarenal aneurysm.
Definition and Etiology. An aneurysm is a permanent focal dilatation of an artery to 1.5 times its normal diameter. The normal infrarenal aortic diameters in patients older than 50 years are 1.5 cm in women and 1.7 cm in men. By convention, an infrarenal aorta 3 cm in diameter or larger is considered aneurysmal.
CPT code 34813 is used if a femoral-femoral prosthetic graft is required during the endovascular repair of the abdominal aortic aneurysm. When the abdominal aortic aneurysm cannot be repaired via an endovascular approach and an open approach must be used to complete the procedure, use CPT codes 34830, 34831, or 34832.
ICD-10-CM Code for Abdominal aortic ectasia I77. 811.
The indication for repair includes either symptomatic aneurysms or aneurysms with a diameter greater than 5.4 cm. Treatment options for the repair of infrarenal aortic aneurysms are open surgical repair (OSR) and endovascular aneurysm repair (EVAR).
occurring below the kidneysMedical Definition of infrarenal : situated or occurring below the kidneys.
The prevalence of abdominal aortic aneurysm defined as a maximal infrarenal aortic diameter of >29 mm or >39 mm was 8.2 percent and 1.7 percent in men and 2.3 percent and 0.4 percent in women, respectively (table 1).
Although "normal" diameter varies with age, sex, and body habitus, the average diameter of the human infrarenal aorta is approximately 2.0 cm; the upper limit of normal is typically <3.0 cm [4]. Thus, for the majority of patients, an infrarenal aorta with a maximum diameter ≥3.0 cm is aneurysmal [2,4,5].
For the thoracic aorta, a diameter greater than 3.5 cm is generally considered dilated, whereas greater than 4.5 cm would be considered aneurysmal. Aneurysms may affect one or more segments of the thoracic aorta, including the ascending aorta, the arch, and the descending thoracic aorta.
A normal aorta is about 3 centimeters—or a little over 1 inch across. An aneurysm occurs when a portion of the aorta has enlarged to at least 1.5 times its normal size.
If you have an infrarenal abdominal aortic aneurysm, this study may be an option for you.
Subject must be diagnosed with an infrarenal abdominal aortic aneurysm (AAA), with or without iliac artery involvement