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ICD-10 Coding for Family History of Aneurysm(Z82.49)

Complete ICD-10-CM coding and documentation guide for Family History of Aneurysm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

FHx of AneurysmFamily History of Circulatory Disease

Related ICD-10 Code Ranges

Complete code families applicable to Family History of Aneurysm

Z82-Z83Primary Range

Family history of certain conditions

This range includes codes for family history of circulatory diseases, including aneurysms.

Key Information: ICD-10 code for family history of aneurysm

Essential facts and insights about Family History of Aneurysm

The ICD-10 code for family history of aneurysm is Z82.49, covering family history of ischemic heart disease and other circulatory diseases.

Primary ICD-10-CM Code for family history of aneurysm

Family history of ischemic heart disease and other diseases of the circulatory system
Billable Code

Decision Criteria

documentation Criteria

  • Document the specific relative and type of aneurysm.

Applicable To

  • Family history of aneurysm

Excludes

  • Personal history of aneurysm (Z86.79)

Clinical Validation Requirements

  • Documentation of the relative's aneurysm type and outcome
  • Degree of relation to the patient
  • Relevance to current care or screening

Code-Specific Risks

  • Incorrectly using for personal history
  • Lack of specificity in documentation

Coding Notes

  • Ensure documentation links family history to the reason for the encounter.

Ancillary Codes

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

Encounter for screening for malignant neoplasms

Z12.1
Use when screening is performed due to family history of aneurysm.

Differential Codes

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

Personal history of other diseases of the circulatory system

Z86.79
Use Z86.79 for personal history, not family history.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Family History of Aneurysm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z82.49.

Impact

Clinical: May lead to inappropriate care decisions., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Ensure documentation specifies aneurysm, Educate providers on documentation standards

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records and data reporting.

Mitigation Strategy

Use Z82.49 for family history of aneurysm.

Impact

Lack of specificity in family history documentation

Mitigation Strategy

Train staff on detailed documentation practices

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 Family History of Aneurysm, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Family History of Aneurysm

Use these documentation templates to ensure complete and accurate documentation for Family History of Aneurysm. These templates include all required elements for proper coding and billing.

Screening due to family history

Specialty: Neurology

Required Elements

  • Family history details
  • Screening plan
  • Clinical justification

Example Documentation

Patient presents for screening MRA due to family history of cerebral aneurysm in sibling (Z82.49). Plan: Schedule MRA brain to assess for asymptomatic aneurysms.

Examples: Poor vs. Good Documentation

Poor Documentation Example
FHx: Aneurysm.
Good Documentation Example
Patient’s father died at age 48 from ruptured intracranial aneurysm. Recommends screening MRA due to 1st-degree relative with fatal SAH.
Explanation
The good example provides specific details and clinical relevance.

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