ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesI71.019

I71.019

Billable

Dissection of thoracic aorta, unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I71.019 is a billable code used to indicate a diagnosis of dissection of thoracic aorta, unspecified.

Key Diagnostic Point:

Dissection of the thoracic aorta is a serious cardiovascular condition characterized by a tear in the inner layer of the aortic wall, leading to the separation of the layers of the aorta. This condition can result in severe complications, including rupture, which can be fatal. The thoracic aorta is the section of the aorta that runs through the chest, and dissections can occur anywhere along its length. Clinical presentation often includes sudden onset of severe chest or back pain, which may be described as a tearing or ripping sensation. Patients may also exhibit signs of shock, such as hypotension or altered mental status, depending on the extent of the dissection and any resultant complications. Disease progression can vary; some dissections may stabilize, while others can rapidly deteriorate, necessitating immediate medical intervention. Diagnostic considerations include imaging studies such as CT angiography or MRI, which can confirm the presence and extent of the dissection. Timely diagnosis and treatment are crucial to improve outcomes and reduce mortality associated with this condition.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity: Requires advanced imaging techniques and clinical assessment.
  • Treatment complexity: May involve surgical intervention or intensive medical management.
  • Documentation requirements: Detailed clinical documentation is necessary to justify the diagnosis and treatment.
  • Coding specificity: Requires precise coding to differentiate from other aortic conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of the type of dissection.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports.
  • Billing challenges: Potential for denials if documentation does not support the severity of the condition.

Specialty Focus

Medical Specialties

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Cardiothoracic Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I71.019 lies in its potential for severe morbidity and mortality if not promptly diagnosed and treated. Population health impact includes the need for increased awareness and education regarding aortic dissections, as timely intervention can significantly improve outcomes. Quality measures may focus on the speed of diagnosis and treatment initiation, while healthcare utilization patterns may reflect the need for advanced imaging and surgical resources. Epidemiologically, understanding the prevalence and risk factors associated with thoracic aorta dissections can aid in developing preventive strategies.

ICD-9 vs ICD-10

The clinical significance of I71.019 lies in its potential for severe morbidity and mortality if not promptly diagnosed and treated. Population health impact includes the need for increased awareness and education regarding aortic dissections, as timely intervention can significantly improve outcomes. Quality measures may focus on the speed of diagnosis and treatment initiation, while healthcare utilization patterns may reflect the need for advanced imaging and surgical resources. Epidemiologically, understanding the prevalence and risk factors associated with thoracic aorta dissections can aid in developing preventive strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the complexity of the treatment provided. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for imaging studies or surgical interventions. Best practices include ensuring that all clinical notes are thorough and that imaging results are clearly linked to the diagnosis. Regular audits of coding practices can help mitigate risks associated with billing for this high-complexity condition.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I71.019?

I71.019 covers unspecified dissections of the thoracic aorta, which may include cases where the exact type of dissection (type A or type B) is not determined. It is important to note that this code does not encompass other aortic conditions such as aneurysms or ruptures.

When should I71.019 be used instead of related codes?

I71.019 should be used when a patient presents with a thoracic aorta dissection that cannot be classified as type A or type B. If the type is known, the more specific codes (I71.01 or I71.02) should be utilized.

What documentation supports I71.019?

Documentation should include a detailed clinical history, physical examination findings, imaging results confirming the dissection, and any treatment plans. Clear notes on the patient's symptoms and the clinical decision-making process are essential.