icd 9 code for dissecting abdominal aortic aneurysm

What is the ICD 9 code for abdominal aortic aneurysm?

Short description: Abdom aortic aneurysm. ICD-9-CM 441.4 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 441.4 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD 9 code for aortic dissection?

ICD-9 code 441 for Aortic aneurysm and dissection is a medical classification as listed by WHO under the range -DISEASES OF ARTERIES, ARTERIOLES, AND CAPILLARIES (440-449). Subscribe to Codify and get the code details in a flash.

What is a dissecting aorta aneurysm?

This life-threatening condition usually occurs in the ascending or descending part of the thoracic aorta but may also occur in the abdominal aorta. The physician may document this condition as dissecting aneurysm.

What is the ICD 10 code for anastomotic saccular aneurysm?

2021 (effective 10/1/2020): No change. Diagnosis Index entries containing back-references to I71.4: Aneurysm (anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular) I72.9. ICD-10-CM Diagnosis Code I72.9.

What is a dissecting abdominal aortic aneurysm?

Aortic aneurysm and aortic dissection An aortic dissection is a serious condition in which a tear occurs in the inner layer of the body's main artery (aorta). Blood rushes through the tear, causing the inner and middle layers of the aorta to split (dissect).

Is aortic dissection the same as abdominal aortic aneurysm?

An aortic aneurysm occurs when a weak spot in the wall of the aorta begins to bulge, as shown in the image on the left. An aneurysm can occur anywhere in the aorta. Having an aortic aneurysm increases the risk of a tear in the aortic lining (aortic dissection), as shown in the image on the right.

What type of aneurysm is dissecting aneurysm?

Dissecting aneurysms are not true aneurysms but rather hematomas within the arterial media that occur almost exclusively in the aorta. An intimal tear allows access of blood to the media, and luminal blood pressure causes propagation of the thrombus through the arterial media over the course of hours to days (Fig.

What is the difference between aneurysm and dissection?

Aneurysms can occur in any vessel, most notably in the brain, heart, thoracic aorta, and abdominal aorta. A dissection is a tear of the inside layer of a blood vessel wall that allows blood to flow between the layers that make up the vessel wall and separate these layers.

Is aortic dissection a false aneurysm?

A dissection occurs when there is a tear in the tunica intima, allowing blood to literally “dissect” into the vessel wall. This may create the appearance of an aneurysm, but because it doesn't involve all three layers, it's a false, or pseudoaneurysm.

What are the types of aortic dissection?

Type I involves the ascending aorta, arch, and descending thoracic aorta and may progress to involve the abdominal aorta. Type II is confined to the ascending aorta. Type IIIa involves the descending thoracic aorta distal to the left subclavian artery and proximal to the celiac artery.

What are the 3 types of aneurysms?

The three types of cerebral aneurysms are: berry (saccular), fusiform and mycotic. The most common, "berry aneurysm," occurs more often in adults. It can range in size from a few millimeters to more than two centimeters. A family history of aneurysms may increase your risk.

Why is aortic dissection different from blood pressure?

Most aortic dissections occur because high blood pressure causes the artery's wall to deteriorate. People have sudden, excruciating pain, most commonly across the chest but also in the back between the shoulder blades.

Why is a dissecting aneurysm not really an aneurysm?

A dissecting aneurysm is an aneurysm that occurs with a tear in the artery wall that separates the 3 layers of the wall, rather than ballooning out the entire wall. Because an aneurysm may continue to increase in size, along with progressive weakening of the artery wall, surgical intervention may be needed.

Which of the following is the most common site for a dissecting aneurysm?

The most common site of dissection is the first few centimeters of the ascending aorta, with 90% occurring within 10 cm of the aortic valve. The second most common site is just distal to the left subclavian artery.

Which drug is used to manage a patient with a dissecting aneurysm?

Beta Blockers and Other Antihypertensive Medications Beta blockers are often the first treatment for a type B aortic dissection. These medications reduce blood pressure by blocking the effects of the hormone epinephrine, or adrenaline. This relaxes the heart, slowing it down.

What is the survival rate of an aortic dissection?

Short-term and long-term survival rates after acute type A aortic dissection (TA-AAD) are unknown. Previous studies have reported survival rates between 52% and 94% at 1 year and between 45% and 88% at 5 years.

What causes aortic dissection?

It's believed that most aortic dissections are caused by an underlying vulnerability that may be inherited. In others, the stress to the aortic wall from constant high blood pressure can weaken the aorta wall in susceptible people, resulting in a tear and dissection.

What is life expectancy after aortic dissection surgery?

1 Introduction. Acute type A aortic dissection (AAD) is a life-threatening emergency that carries a high mortality rate without surgical treatment [1,2]. Surgical mortality has been estimated to range from 9% to 30%, and survival rates of 51–82% at 5 years have been reported [3–9].

How is an aortic dissection repair?

There are 2 possible surgery methods for aortic dissection repair. The first is standard open-heart surgery. The second is less-invasive endovascular surgery. This may be advised if you aren't strong enough for open-heart surgery.

What is the ICd 9 code for dissection of an aortic aneurysm?

Dissecting aortic aneurysm or aortic dissection is classified to ICD-9-CM code 441.0x. The following fifth-digit subclassifications identify the site of the dissection:

What is the code for an abdominal aneurysm?

If an aortic aneurysm is documented but not specified as to site, assign code 441.9. A ruptured aortic aneurysm, NOS is classified to code 441.5. A pseudoaneurysm (false aneurysm) is an aneurysm that does not have some or all of the aortic wall layers. Often due to an injury of inner aortic wall and an infection, a pseudoaneurysm is unpredictable and may rupture at smaller sizes. Pseudoaneurysm is classified to the same codes as the other aneurysms, depending on location.

What are the shapes of an aortic aneurysm?

Shapes include fusiform and saccular. Fusiform is when the aneurysm is enlarged equally in all directions; saccular is when the bulge or sac occurs on only one side of the aorta. Possible locations of an aortic aneurysm are as follows: • Ascending (441.2); if ruptured, use 441.1; • Arch (441.2); if ruptured, use 441.1;

What is the weak area of the artery wall where the diseased tissue does not stretch and contract well?

Aortic Aneurysm. An aneurysm is a weak area of the artery wall where the diseased tissue does not stretch and contract well, causing a localized enlargement. The diameter of the enlargement determines whether it is considered an aneurysm.

Can an aortic dissection cause pain?

Aortic Dissection. Aortic tissue may tear even without an aneurysm. Dissection is the tearing of the inner layer of a vessel that allows blood to leak between the inner and outer layers, possibly causing severe back or chest pain, pallor, pulselessness, paresthesiae, and paralysis.

Can a pseudoaneurysm rupture without an aneurysm?

Often due to an injury of inner aortic wall and an infection, a pseudoaneurysm is unpredictable and may rupture at smaller sizes. Pseudoaneurysm is classified to the same codes as the other aneurysms, depending on location. Aortic Dissection. Aortic tissue may tear even without an aneurysm .

Does type B involve the ascending aorta?

Type B does not involve the ascending aorta and may be managed medically. The type of aortic dissection does not affect code assignment. The code assignment is only based on the site of the dissecting aneurysm ( AHA Coding Clinic for ICD-9-CM, 1989, fourth quarter, page 10). Diagnosis and Treatment.