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ICD-10 Coding for Anterior Communicating Artery Aneurysm(I60.1, I67.1)

Complete ICD-10-CM coding and documentation guide for Anterior Communicating Artery Aneurysm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

ACoA AneurysmCircle of Willis Aneurysm

Related ICD-10 Code Ranges

Complete code families applicable to Anterior Communicating Artery Aneurysm

I60.0-I60.9Primary Range

Nontraumatic subarachnoid hemorrhage

Covers hemorrhages from cerebral arteries, including anterior communicating artery.

Other cerebrovascular diseases

Includes nonruptured cerebral aneurysms.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I60.1Nontraumatic subarachnoid hemorrhage from anterior communicating arteryUse when there is confirmed rupture of an anterior communicating artery aneurysm.
  • Imaging confirmation of hemorrhage
  • Clinical presentation of sudden headache or neurological deficit
I67.1Cerebral aneurysm, nonrupturedUse when the aneurysm is identified but has not ruptured.
  • Imaging showing aneurysm without hemorrhage

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 anterior communicating artery aneurysm

Essential facts and insights about Anterior Communicating Artery Aneurysm

The ICD-10 code for a ruptured anterior communicating artery aneurysm is I60.1.

Primary ICD-10-CM Codes for anterior communicating artery aneurysm

Nontraumatic subarachnoid hemorrhage from anterior communicating artery
Non-billable Code

Decision Criteria

clinical Criteria

  • Confirmed rupture of the anterior communicating artery aneurysm via imaging

Applicable To

  • Ruptured anterior communicating artery aneurysm

Excludes

  • Traumatic subarachnoid hemorrhage

Clinical Validation Requirements

  • Imaging confirmation of hemorrhage
  • Clinical presentation of sudden headache or neurological deficit

Code-Specific Risks

  • Misclassification if rupture status is not documented

Coding Notes

  • Ensure rupture status is clearly documented to avoid incorrect coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Sequelae of subarachnoid hemorrhage

I69.0
Use for documenting residual deficits following treatment.

Cerebral vasospasm

G46.4
Use if vasospasm is present post-rupture.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Nontraumatic subarachnoid hemorrhage from other cerebral arteries

I60.2
Use I60.2 for hemorrhages from cerebral arteries other than the anterior communicating artery.

Nontraumatic subarachnoid hemorrhage from anterior communicating artery

I60.1
Use I60.1 if the aneurysm has ruptured.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Anterior Communicating Artery Aneurysm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I60.1.

Impact

Clinical: Misleading treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.

Mitigation Strategy

Standardize documentation templates, Regular training on coding requirements

Impact

Reimbursement: Incorrect DRG assignment affecting hospital reimbursement., Compliance: Potential audit issues due to misclassification., Data Quality: Inaccurate clinical data affecting patient care.

Mitigation Strategy

Ensure rupture status is confirmed through imaging or clinical documentation.

Impact

Inadequate documentation of rupture status can lead to audit issues.

Mitigation Strategy

Implement thorough documentation practices and regular audits.

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 Anterior Communicating Artery Aneurysm, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Anterior Communicating Artery Aneurysm

Use these documentation templates to ensure complete and accurate documentation for Anterior Communicating Artery Aneurysm. These templates include all required elements for proper coding and billing.

Ruptured Aneurysm

Specialty: Neurosurgery

Required Elements

  • Patient demographics
  • Clinical presentation
  • Imaging findings
  • Treatment plan

Example Documentation

45-year-old male with sudden headache, CTA shows 6mm ruptured ACoA aneurysm. Plan: Microsurgical clipping.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Brain aneurysm identified.
Good Documentation Example
CTA confirms 6mm ruptured ACoA aneurysm with SAH. Plan for clipping.
Explanation
The good example specifies the aneurysm's location, size, and rupture status.

Need help with ICD-10 coding for Anterior Communicating Artery Aneurysm? Ask your questions below.

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