ICD-10 Coding for Aneurysm of Abdominal Aorta(I71.3, I71.4)
Complete ICD-10-CM coding and documentation guide for Aneurysm of Abdominal Aorta. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Aneurysm of Abdominal Aorta
I71.3-I71.4Primary Range
Aneurysm of abdominal aorta, ruptured and non-ruptured
This range includes codes for both ruptured and non-ruptured abdominal aortic aneurysms, which are critical for accurate diagnosis and treatment documentation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I71.3 | Abdominal aortic aneurysm, ruptured | Use when imaging confirms rupture and clinical symptoms of shock are present. |
|
| I71.4 | Abdominal aortic aneurysm, without rupture | Use for documented aneurysms without rupture, confirmed by imaging. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for ruptured abdominal aortic aneurysm
Essential facts and insights about Aneurysm of Abdominal Aorta
Primary ICD-10-CM Codes for aneurysm of abdominal aorta
Decision Criteria
clinical Criteria
- Presence of retroperitoneal hematoma and shock
Applicable To
- Ruptured infrarenal AAA
Excludes
- Thoracic aortic aneurysm, ruptured (I71.1)
Clinical Validation Requirements
- Imaging confirmation of rupture
- Clinical signs of hemodynamic instability
Code-Specific Risks
- Misclassification if rupture is not documented
Coding Notes
- Ensure rupture is clearly documented with imaging and clinical signs.
I71.4 - Abdominal aortic aneurysm, without rupture
Use for documented aneurysms without rupture, confirmed by imaging.
Applicable To
- Asymptomatic infrarenal AAA
Excludes
- Thoracic aortic aneurysm, without rupture (I71.2)
Clinical Validation Requirements
- Imaging showing aneurysm size and location
- Absence of rupture signs
Coding Notes
Document aneurysm size and location clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Aneurysm of Abdominal Aorta to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I71.3.
Impact
Clinical: Impacts treatment decisions and urgency., Regulatory: Non-compliance with coding standards., Financial: Affects reimbursement and DRG assignment.
Mitigation Strategy
Ensure imaging reports include rupture status, Train staff on documentation standards
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of healthcare data.
Mitigation Strategy
Always use the most specific code available, such as I71.43 for infrarenal AAA without rupture.
Impact
Failure to document rupture status can lead to audit issues.
Mitigation Strategy
Ensure all imaging and clinical notes clearly state rupture status.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Aneurysm of Abdominal Aorta, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Aneurysm of Abdominal Aorta
Use these documentation templates to ensure complete and accurate documentation for Aneurysm of Abdominal Aorta. These templates include all required elements for proper coding and billing.
Radiology Report for AAA
Specialty: RadiologyRequired Elements
- Aneurysm size
- Location
- Rupture status
- Imaging modality
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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