Full Answer
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.
Size of the aneurysm is considered a strong predictor of rupture risk. The larger the aneurysm the greater the risk. And the risk increases significantly when the diameter of the bulge exceeds 5.5 cm (more than 3 cm is considered an aortic aneurism, and 4 cm indicates “clinical significance”). Surgical repair is warranted at that size as well.
For repair of a descending thoracic aneurysm use CPT codes 36140, 36200-36218 as appropriate. For repair of an abdominal aortic aneurysm use CPT codes 36200, 36245-36248, and 36140 as appropriate.
Keywords
2022 ICD-10-CM Diagnosis Code I71. 4: Abdominal aortic aneurysm, without rupture.
Endovascular repair of the ascending aorta and aortic arch must be reported with the CPT unlisted procedure codes. In this case, code 37799 is used to report the surgical component of the repair, and code 76496 is used to report the imaging supervision and interpretation.
ICD-10 code I71. 4 for Abdominal aortic aneurysm, without rupture is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
Thoracic aortic ectasia810: Thoracic aortic ectasia.
Aortic aneurysm of unspecified site, without rupture I71. 9 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. 9 became effective on October 1, 2021.
Code 34712 may be reported with both the abdominal and thoracic aortic endovascular repair codes or separately. The new EVR codes include a comprehensive set of arterial exposure, repair, and conduit reporting options.
ICD-10-CM Code for Abdominal aortic ectasia I77. 811.
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.
Group 1CodeDescription76706ULTRASOUND, ABDOMINAL AORTA, REAL TIME WITH IMAGE DOCUMENTATION, SCREENING STUDY FOR ABDOMINAL AORTIC ANEURYSM (AAA)
The entire aorta divides into two parts: the thoracic aorta and the abdominal aorta. The ascending aorta, along with the aortic arch and the descending aorta, makes up the thoracic aorta.
The Thoracic Aorta has 4 distinct parts: Aortic Root – Lies in the front portion of the chest below the sternum. It starts at the level of the heart and includes the aortic valve and the portion where the coronary arteries arise called the Sinus of Valsalva.
“Uncoiled Aorta” reflects a change of the silhouette of the thoracic aorta as seen on the X ray. It usually refers to a mild enlargement and straightening of the thoracic aorta on the imaging test. It is an indication of normal aging, atherosclerosis and hypertension.
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;
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.
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 .
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.
The aortic valve may also be repaired or replaced. An endovascular repair may also treat aneurysms. Coding and sequencing for aortic conditions are dependent on the physician documentation in the medical record and application of the Official Coding Guidelines for inpatient care.
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.