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ICD-10 Coding for Type B Aortic Dissection(I71.012)

Complete ICD-10-CM coding and documentation guide for Type B Aortic Dissection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Descending Aortic DissectionType B Thoracic Aortic Dissection

Related ICD-10 Code Ranges

Complete code families applicable to Type B Aortic Dissection

I71.01-I71.03Primary Range

Dissection of aorta

This range includes codes for different parts of the aorta affected by dissection, specifically for Type B which involves the descending aorta.

Aortic aneurysm and dissection

This range includes codes for aneurysms and dissections, providing context for related conditions.

Key Information: ICD-10 code for Type B aortic dissection

Essential facts and insights about Type B Aortic Dissection

The ICD-10 code for Type B aortic dissection is I71.012, indicating dissection of the descending thoracic aorta.

Primary ICD-10-CM Code for type brother aortic dissection

Dissection of descending thoracic aorta
Billable Code

Decision Criteria

clinical Criteria

  • Imaging confirms dissection in descending aorta

documentation Criteria

  • Entry tear location and extent documented

Applicable To

  • Type B aortic dissection

Excludes

  • Dissection of ascending aorta (I71.011)

Clinical Validation Requirements

  • Imaging showing intimal flap in descending aorta
  • SVS/STS classification indicating Type B

Code-Specific Risks

  • Misclassification as Type A if entry tear location is not specified

Coding Notes

  • Ensure documentation specifies the entry tear and extent of dissection.

Ancillary Codes

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

Essential (primary) hypertension

I10
Use when hypertension is a contributing factor.

Differential Codes

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

Dissection of ascending aorta

I71.011
Involves the ascending aorta, not the descending.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Type B Aortic Dissection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I71.012.

Impact

Clinical: Inadequate treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential for denied claims

Mitigation Strategy

Use structured templates, Ensure imaging findings are detailed

Impact

Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Poor data quality affecting clinical outcomes.

Mitigation Strategy

Use specific codes like I71.012 when the descending aorta is involved.

Impact

Use of unspecified codes when specific codes are applicable.

Mitigation Strategy

Regular training on code updates and documentation requirements.

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 Type B Aortic Dissection, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Type B Aortic Dissection

Use these documentation templates to ensure complete and accurate documentation for Type B Aortic Dissection. These templates include all required elements for proper coding and billing.

Emergency Department Presentation

Specialty: Cardiology

Required Elements

  • Onset and nature of symptoms
  • Imaging findings
  • SVS/STS classification
  • Management plan

Example Documentation

Patient presents with sudden chest pain. CT shows Type B dissection, entry tear in zone 4. Managed with TEVAR.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has aortic dissection.
Good Documentation Example
Type B aortic dissection with entry tear in zone 4, extending to zone 8, managed with TEVAR.
Explanation
The good example provides specific details necessary for accurate coding and treatment planning.

Need help with ICD-10 coding for Type B Aortic Dissection? Ask your questions below.

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