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ICD-10 Guide
ICD-10 CodesChapter 9: Diseases of the circulatory systemI71

I71

Non-billable

Aortic aneurysm and dissection

Chapter 9:Diseases of the circulatory system

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

Code Description

ICD-10 I71 is a used to indicate a diagnosis of aortic aneurysm and dissection.

Key Diagnostic Point:

I71 refers to aortic aneurysm and dissection, which are serious cardiovascular conditions characterized by the abnormal dilation (aneurysm) or tearing (dissection) of the aorta, the body's largest artery. Aortic aneurysms can occur in various segments of the aorta, including the thoracic and abdominal regions, and may be classified as either true or false aneurysms based on their anatomical characteristics. Clinical presentation often includes symptoms such as chest or back pain, a pulsating mass in the abdomen, or sudden onset of severe pain indicative of dissection. Disease progression can lead to life-threatening complications such as rupture, which necessitates immediate medical intervention. Diagnostic considerations include imaging studies such as ultrasound, CT scans, or MRI to confirm the presence and extent of the aneurysm or dissection. Early detection and management are crucial to prevent catastrophic outcomes, making awareness of risk factors such as hypertension, atherosclerosis, and genetic predispositions essential in clinical practice.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation for accurate diagnosis.
  • Treatment complexity: Management may involve surgical intervention or endovascular repair.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires precise coding based on the type and location of the aneurysm or dissection.

Audit Risk Factors

  • Common coding errors: Misclassification of aneurysm type or location.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports.
  • Billing challenges: Denials may arise from insufficient documentation or incorrect coding.

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

Vascular 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 CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Aortic aneurysms and dissections significantly impact population health due to their high morbidity and mortality rates. Early detection and management are crucial for improving outcomes and reducing healthcare utilization. Quality measures focus on timely imaging and intervention, while epidemiological studies highlight the importance of addressing risk factors such as hypertension and smoking. Understanding the prevalence and management of these conditions is vital for healthcare providers to enhance patient care and resource allocation.

ICD-9 vs ICD-10

Aortic aneurysms and dissections significantly impact population health due to their high morbidity and mortality rates. Early detection and management are crucial for improving outcomes and reducing healthcare utilization. Quality measures focus on timely imaging and intervention, while epidemiological studies highlight the importance of addressing risk factors such as hypertension and smoking. Understanding the prevalence and management of these conditions is vital for healthcare providers to enhance patient care and resource allocation.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the procedure, the setting of care (inpatient vs. outpatient), and the presence of any complications. Common denials may arise from insufficient documentation or failure to provide supporting imaging studies. Best practices include ensuring that all clinical notes are comprehensive and that the coding accurately reflects the patient's condition and treatment plan. Regular audits and updates on coding guidelines can help mitigate billing challenges.

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?

I71 encompasses various types of aortic aneurysms (thoracic and abdominal) and dissections. It includes conditions such as thoracic aortic aneurysm (I71.0), abdominal aortic aneurysm (I71.4), and aortic dissection (I71.1). Each subtype has specific diagnostic criteria based on imaging findings and clinical presentation.

When should I71 be used instead of related codes?

I71 should be used when there is a confirmed diagnosis of an aortic aneurysm or dissection. It is essential to differentiate it from other cardiovascular conditions, such as I70 (atherosclerosis), which does not involve aneurysmal changes. Accurate coding is critical for appropriate treatment and reimbursement.

What documentation supports I71?

Documentation for I71 should include detailed clinical notes describing symptoms, risk factors, and imaging results that confirm the diagnosis of an aortic aneurysm or dissection. Surgical reports, if applicable, and follow-up notes are also important to support the diagnosis and treatment plan.