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ICD-10 Coding for Infrarenal Abdominal Aortic Aneurysm(I71.43, I71.33)

Complete ICD-10-CM coding and documentation guide for Infrarenal Abdominal Aortic Aneurysm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Infrarenal AAAAbdominal Aortic Aneurysm below Renal Arteries

Related ICD-10 Code Ranges

Complete code families applicable to Infrarenal Abdominal Aortic Aneurysm

I71.3-I71.4Primary Range

Aortic aneurysm and dissection

This range includes specific codes for infrarenal abdominal aortic aneurysms, both ruptured and unruptured.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I71.43Infrarenal abdominal aortic aneurysm, without ruptureUse when imaging confirms an infrarenal AAA without rupture.
  • CTA or MRI showing aneurysm distal to renal arteries
  • Diameter ≥3.0 cm
  • No evidence of rupture
I71.33Infrarenal abdominal aortic aneurysm, rupturedUse when imaging and clinical findings confirm rupture.
  • CTA showing peri-aortic hematoma or active extravasation
  • Clinical signs of rupture such as hypotension

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 infrarenal abdominal aortic aneurysm

Essential facts and insights about Infrarenal Abdominal Aortic Aneurysm

The ICD-10 code for an infrarenal abdominal aortic aneurysm without rupture is I71.43, and with rupture is I71.33.

Primary ICD-10-CM Codes for infrarenal abdominal aortic aneurysm

Infrarenal abdominal aortic aneurysm, without rupture
Billable Code

Decision Criteria

clinical Criteria

  • Imaging confirms infrarenal location without rupture.

Applicable To

  • Asymptomatic infrarenal AAA
  • Stable infrarenal AAA

Excludes

  • Ruptured infrarenal AAA (I71.33)

Clinical Validation Requirements

  • CTA or MRI showing aneurysm distal to renal arteries
  • Diameter ≥3.0 cm
  • No evidence of rupture

Code-Specific Risks

  • Misclassification if rupture status is not documented

Coding Notes

  • Ensure documentation specifies 'infrarenal' and 'without rupture'.

Ancillary Codes

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

Essential hypertension

I10
Use if hypertension is a comorbidity.

Hypovolemic shock

R57.1
Use if shock is present due to rupture.

Differential Codes

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

Pararenal abdominal aortic aneurysm

I71.41
Aneurysm located at or above the renal arteries.

Juxtarenal abdominal aortic aneurysm

I71.42
Aneurysm located at the level of the renal arteries.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Infrarenal Abdominal Aortic Aneurysm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I71.43.

Impact

Clinical: May lead to inappropriate treatment decisions., Regulatory: Increases risk of audit discrepancies., Financial: Potential loss of reimbursement for higher DRG.

Mitigation Strategy

Ensure imaging and clinical notes are reviewed for rupture status.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit failures., Data Quality: Reduces accuracy of health records.

Mitigation Strategy

Ensure documentation specifies the exact location and rupture status.

Impact

Inadequate documentation of rupture status can lead to audit issues.

Mitigation Strategy

Ensure thorough documentation in imaging and clinical notes.

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 Infrarenal Abdominal Aortic Aneurysm, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Infrarenal Abdominal Aortic Aneurysm

Use these documentation templates to ensure complete and accurate documentation for Infrarenal Abdominal Aortic Aneurysm. These templates include all required elements for proper coding and billing.

CTA report for infrarenal AAA

Specialty: Radiology

Required Elements

  • Aneurysm location
  • Diameter measurements
  • Rupture status

Example Documentation

CTA shows a 5.2 cm infrarenal AAA without rupture.

Examples: Poor vs. Good Documentation

Poor Documentation Example
AAA noted on CTA.
Good Documentation Example
Fusiform infrarenal AAA measuring 5.2 cm, no rupture.
Explanation
The good example provides specific location and rupture status.

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