icd 10 code for screening aortic aneurysm

What is the treatment for abdominal aortic aneurysm?

Treatment options may include:

• Open abdominal surgery. This procedure is used to remove damaged areas of your aorta. ...
• Endovascular surgery. This is a less invasive form of surgery than open abdominal surgery. ...
• Monitoring. For a small AAA that’s less than 5.5 centimeters wide, your doctor may decide to monitor it regularly with imaging instead of performing surgery.

What is the CPT code for abdominal aortic aneurysm?

CPT®: 34703, 34704 Extensions CPT®: 34709, 34710 EVAR Related Devices and applicable CPT® codes Indications The Endurant™ II/Endurant™ IIs bifurcated stent grafts are indicated for the endovascular treatment of infrarenal abdominal aortic or aortoiliac aneurysms. They may be utilized in conjunction with the Heli-FX™

What is abdominal aortic aneurysm screening?

Abdominal aortic aneurysm (AAA) screening is a way of detecting a dangerous swelling (aneurysm) of the aorta - the main blood vessel that runs from the heart, down through the abdomen to the rest of the body.

What is the CPT code for abdominal aorta ultrasound?

Under CPT/HCPCS Codes Group 1: Paragraph added the verbiage “CPT® code 76706: Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) Short Descriptor: Us abdl aorta screen AAA”. Under CPT/HCPCS modifiers Group 1: Codes added modifiers TC and 26.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

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.

ICD-10-CM Codes that Support Medical Necessity

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.

Bill Type Codes

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.

Revenue Codes

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.

How to detect AAA?

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.

What causes an aortic aneurysm?

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

What is the largest artery in the body?

The aorta is the largest artery in the body. It carries oxygenated blood from the heart through the chest and torso to the rest of the body. An aneurysm is an abnormal enlargement of part of a blood vessel. Thus, an abdominal aortic aneurysm is a balloon-like bulge in the portion of the aorta that runs through the abdomen.

What is the risk of a ruptured 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.

What is the diameter of AAA?

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.

What causes AAA in the aorta?

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.

Does Medicare cover AAA screening?

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, ...