what is the icd 10 code for aortic dissection, type b

Dissection of thoracoabdominal aorta. I71.03 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM I71.03 became effective on October 1, 2018.

Full Answer

What is the prognosis of aortic dissection?

The 10‐year actuarial survival rate of patients with an aortic dissection who leave the hospital alive ranges from 30% to 60%. 20,21,22,23,26,27 The long‐term approach is based on understanding that dissection of the aorta is the epitome of systemic aortic media degeneration or defective wall structure, with the entire aorta and its branches being predisposed to dissection, aneurysm formation, and/or aortic rupture. Subsequently, management in these patients includes life time medical ...

What causes aortic dissection?

Some of the things that may raise your risk of aortic dissection include:

• Uncontrolled high blood pressure (hypertension)
• Hardening of the arteries (atherosclerosis)
• Weakened and bulging artery (aortic aneurysm)
• An aortic valve defect (bicuspid aortic valve)
• A narrowing of the aorta at birth (aortic coarctation)

How serious is a torn aorta?

The condition is generally fatal in most of the cases because of the excessive internal bleeding as a result of the rupture. The aorta is the main blood vessel which carries blood out of your heart.

What is the pathophysiology of aortic dissection?

Aortic Dissection: A Review of the Pathophysiology, Management and Prospective Advances. Aortic dissection is an emergent medical condition, generally affecting the elderly, characterized by a separation of the aortic wall layers and subsequent creation of a pseudolumen that may compress the true aortic lumen. Predisposing factors mediate their risk by either increasing tension on the w ….

What is type B aortic dissection?

Aortic dissections are classified into two types: type B dissection involves a tear in the descending part of the aorta and may extend into the abdomen, whereas type A dissection develops in the ascending part of the aorta just as it branches off the heart.

What is the ICD-10-CM code for type B aortic dissection?

ICD-10 code I71 for Aortic aneurysm and dissection is a medical classification as listed by WHO under the range - Diseases of the circulatory system .

What is Stanford type B aortic dissection?

In the Stanford classification of aortic dissection: Type A involves the ascending aorta and may progress to involve the arch and thoracoabdominal aorta. Type B involves the descending thoracic or thoracoabdominal aorta distal to the left subclavian artery without involvement of ascending aorta.

Is aortic arch dissection type A or B?

Aortic dissections that occur in the ascending part of the aorta are called type A; those in the descending aorta are type B. These types of dissections are further classified by two categories: acute and chronic.

What is the ICD-10 code for history of aortic dissection?

I71. 01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD-10 code for ascending aortic dissection?

0: Dissection of aorta.

Does Type B aortic dissection require surgery?

Background. Stanford type B aortic dissection is one of the aortic catastrophes with a high mortality and morbidity that needs immediate or delayed treatment, either surgically or endovascularly.

How is type B aortic dissection treated?

Uncomplicated type B aortic dissection is generally managed with optimal medical therapy, which includes pain control and strict blood pressure and heart rate control (also referred to as "anti-impulse therapy") [1].

How long can you live with an aortic dissection type B?

Short- and long-term prognosis after discharge from the hospital for acute type B dissection remains unclear. Previous studies are inconsistent and have reported survival rates between 56% and 92% at 1 year and 48% to 82% at 5 years.

Is aortic dissection the same as 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.

How many types of aortic dissection are there?

Aortic dissections are divided into two groups, depending on which part of the aorta is affected: Type A. This more common and dangerous type involves a tear in the part of the aorta where it exits the heart. The tear may also occur in the upper aorta (ascending aorta), which may extend into the abdomen.

What's the difference between an aortic aneurysm and an aortic dissection?

An aneurysm that bleeds into the brain can lead to stroke or death. Aortic dissection occurs when the layers of the wall of the aorta separate or are torn, allowing blood to flow between those layers and causing them to separate further.

What is the term for aortic dissection?

Aortic dissection ( AD) occurs when an injury to the innermost layer of the aorta allows blood to flow between the layers of the aortic wall, forcing the layers apart. In most cases, this is associated with a sudden onset of severe chest or back pain, often described as "tearing" in character.

Why is aortic dissection difficult to diagnose?

Because of the varying symptoms of aortic dissection, the diagnosis is sometimes difficult to make. Concern should be increased in those with low blood pressure, neurological problems, and an unequal pulses.

What is the term for dissections that propagate towards the iliac bifurcation?

Dissections that propagate towards the iliac bifurcation (with the flow of blood) are called anterograde dissections and those that propagate towards the aortic root (opposite of the flow of blood) are called retrograde dissections.

What is the cause of heart attack in aortic dissection?

Heart attack occurs in 1–2% of aortic dissections. Infarction is caused by the involvement of the coronary arteries, which supply the heart with oxygenated blood, in the dissection. The right coronary artery is involved more commonly than the left coronary artery.

What happens if you dissect your aorta?

Aortic dissection can quickly lead to death from insufficient blood flow to the heart or complete rupture of the aorta.

Where do aortic dissections originate?

The vast majority of aortic dissections originate with an intimal tear in either the ascending aorta (65%), the aortic arch (10%), or just distal to the ligamentum arteriosum in the descending thoracic aorta (20%). As blood flows down the false lumen, it may cause secondary tears in the intima.

Which disorders increase the risk of aortic dissection?

Connective tissue disorders such as Marfan syndrome, Ehlers-Danlos syndrome, and Loeys–Dietz syndrome increase the risk of aortic disse ction. Similarly, vasculitides such as Takayasu's arteritis, giant cell arteritis, polyarteritis nodosa, and Behcet's disease have been associated with a subsequent aortic dissection.