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ICD-10 Guide
ICD-10 CodesI71.12

I71.12

Billable

Aneurysm of the aortic arch, ruptured

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

Code Description

ICD-10 I71.12 is a billable code used to indicate a diagnosis of aneurysm of the aortic arch, ruptured.

Key Diagnostic Point:

I71.12 refers to a ruptured aneurysm of the aortic arch, a critical cardiovascular condition characterized by the abnormal dilation of the aorta, which can lead to life-threatening complications. The aortic arch is the section of the aorta that curves between the ascending and descending aorta, supplying blood to the head, neck, and arms. Clinical presentation often includes sudden, severe chest pain that may radiate to the back, hypotension, and signs of shock due to internal bleeding. Disease progression can be rapid, with a high mortality rate if not promptly diagnosed and treated. Diagnostic considerations include imaging studies such as CT angiography or MRI, which can confirm the presence of an aneurysm and assess for rupture. Early intervention is crucial, often requiring surgical repair or endovascular techniques to manage the rupture and prevent further complications.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity: Requires advanced imaging and clinical evaluation.
  • Treatment complexity: Involves surgical intervention and potential for multiple specialties.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential.
  • Coding specificity: Requires precise coding to differentiate from non-ruptured aneurysms.

Audit Risk Factors

  • Common coding errors: Misclassification of ruptured vs. non-ruptured aneurysms.
  • Documentation gaps: Lack of detailed clinical notes or imaging results.
  • Billing challenges: Potential for denials if documentation does not support the urgency 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

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 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 I71.12 is profound, as ruptured aortic arch aneurysms are associated with high morbidity and mortality rates. Population health impact includes the need for timely diagnosis and intervention, which can significantly affect healthcare utilization patterns. Quality measures focus on improving outcomes through early detection and management of cardiovascular diseases, highlighting the importance of awareness and education in both patients and healthcare providers.

ICD-9 vs ICD-10

The clinical significance of I71.12 is profound, as ruptured aortic arch aneurysms are associated with high morbidity and mortality rates. Population health impact includes the need for timely diagnosis and intervention, which can significantly affect healthcare utilization patterns. Quality measures focus on improving outcomes through early detection and management of cardiovascular diseases, highlighting the importance of awareness and education in both patients and healthcare providers.

Reimbursement & Billing Impact

Reimbursement considerations include the urgency of the condition, which may necessitate higher levels of care and intervention. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for surgical procedures. Coders should ensure that all relevant clinical information, including imaging studies and treatment plans, is clearly documented to support the claim and avoid potential audits.

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 I71.12?

I71.12 specifically covers ruptured aneurysms of the aortic arch. It is essential to differentiate this from other aneurysm locations and conditions such as aortic dissection or non-ruptured aneurysms.

When should I71.12 be used instead of related codes?

I71.12 should be used when there is clear evidence of a rupture, as indicated by clinical symptoms and imaging findings. Related codes like I71.11 should be used for non-ruptured cases.

What documentation supports I71.12?

Documentation should include clinical notes detailing the patient's symptoms, imaging results confirming the rupture, and any surgical or treatment interventions performed.