ICD-10 Coding for Ascending Aortic Aneurysm(I71.21, I71.11)
Complete ICD-10-CM coding and documentation guide for Ascending Aortic Aneurysm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ascending Aortic Aneurysm
I71.0-I71.9Primary Range
Aortic aneurysm and dissection
This range includes all types of aortic aneurysms, with specific codes for ascending aortic aneurysms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I71.21 | Aneurysm of ascending aorta, without rupture | Use when imaging confirms a non-ruptured aneurysm in the ascending aorta. |
|
| I71.11 | Ruptured aneurysm of ascending aorta | Use when there is clinical evidence of rupture in the ascending aorta. |
|
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 ascending aortic aneurysm
Essential facts and insights about Ascending Aortic Aneurysm
Primary ICD-10-CM Codes for ascending aortic aneurysm
Decision Criteria
clinical Criteria
- Imaging shows non-ruptured aneurysm in ascending aorta
Applicable To
- Non-ruptured ascending aortic aneurysm
Excludes
- Ruptured ascending aortic aneurysm (I71.11)
Clinical Validation Requirements
- Imaging confirmation of aneurysm
- Diameter ≥4.0 cm
Code-Specific Risks
- Misclassification if rupture status is not documented
Coding Notes
- Ensure documentation specifies the location and rupture status.
I71.11 - Ruptured aneurysm of ascending aorta
Use when there is clinical evidence of rupture in the ascending aorta.
Applicable To
- Ruptured ascending aortic aneurysm
Excludes
- Non-ruptured ascending aortic aneurysm (I71.21)
Clinical Validation Requirements
- Evidence of rupture such as hemorrhagic shock
- Systolic BP <90 mmHg
Coding Notes
Document rupture status clearly to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Aortic aneurysm in diseases classified elsewhere
I79.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Ascending Aortic Aneurysm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I71.21.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Always specify the exact location in documentation., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient care.
Mitigation Strategy
Always document whether the aneurysm is ruptured or not.
Impact
Failure to document rupture status can lead to audit issues.
Mitigation Strategy
Implement checklist for documentation completeness.
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 Ascending Aortic Aneurysm, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ascending Aortic Aneurysm
Use these documentation templates to ensure complete and accurate documentation for Ascending Aortic Aneurysm. These templates include all required elements for proper coding and billing.
Non-ruptured Ascending Aortic Aneurysm
Specialty: CardiologyRequired Elements
- Location of aneurysm
- Size and morphology
- Rupture status
- Etiology
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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