ICD-10 Coding for Intracranial Aneurysm(I67.1, I60.00)
Complete ICD-10-CM coding and documentation guide for Intracranial Aneurysm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intracranial Aneurysm
I60-I67Primary Range
Cerebrovascular diseases including subarachnoid hemorrhage and cerebral aneurysms
This range includes codes for both ruptured and nonruptured intracranial aneurysms, as well as related cerebrovascular conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I67.1 | Cerebral aneurysm, nonruptured | Use when an aneurysm is identified but has not ruptured. |
|
| I60.00 | Subarachnoid hemorrhage from carotid siphon and bifurcation | Use when there is a confirmed rupture at the carotid siphon leading to 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 nonruptured intracranial aneurysm
Essential facts and insights about Intracranial Aneurysm
Primary ICD-10-CM Codes for intracranial aneurysm
Decision Criteria
clinical Criteria
- Confirmed nonruptured status via imaging
Applicable To
- Nonruptured cerebral aneurysm
Excludes
- Ruptured cerebral aneurysm (I60.x)
Clinical Validation Requirements
- Imaging confirmation of aneurysm without evidence of rupture
- Detailed documentation of aneurysm size and location
Code-Specific Risks
- Misclassification if rupture status is not clearly documented
Coding Notes
- Ensure documentation specifies nonruptured status to avoid misclassification.
I60.00 - Subarachnoid hemorrhage from carotid siphon and bifurcation
Use when there is a confirmed rupture at the carotid siphon leading to hemorrhage.
Applicable To
- Ruptured aneurysm at carotid siphon
Excludes
- Nonruptured cerebral aneurysm (I67.1)
Clinical Validation Requirements
- Imaging showing hemorrhage from carotid siphon
- Clinical presentation consistent with subarachnoid hemorrhage
Coding Notes
Ensure precise location documentation to select the correct code.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Intracranial Aneurysm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I67.1.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increases risk of audit and compliance issues., Financial: Potential for incorrect reimbursement.
Mitigation Strategy
Standardize documentation templates, Regular training on documentation requirements
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Reduces accuracy of clinical data for research and analysis.
Mitigation Strategy
Always use the most specific code available based on documented location.
Impact
Audits often find issues with non-specific location coding for aneurysms.
Mitigation Strategy
Implement detailed imaging protocols and documentation standards.
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 Intracranial Aneurysm, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intracranial Aneurysm
Use these documentation templates to ensure complete and accurate documentation for Intracranial Aneurysm. These templates include all required elements for proper coding and billing.
Neurosurgery H&P
Specialty: NeurosurgeryRequired Elements
- Aneurysm location and size
- Rupture status
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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