ICD-10 Coding for Abdominal Aortic Aneurysm Screening(Z13.6, I71.4)
Complete ICD-10-CM coding and documentation guide for Abdominal Aortic Aneurysm Screening. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Abdominal Aortic Aneurysm Screening
Z13-Z13.9Primary Range
Encounter for screening for other diseases and disorders
This range includes codes for encounters specifically for screening purposes, including AAA screening.
Aortic aneurysm and dissection
This range includes codes for diagnosed aortic aneurysms, which may be identified during screening.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z13.6 | Encounter for screening for cardiovascular disorders | Use for encounters specifically for AAA screening in eligible populations. |
|
| I71.4 | Abdominal aortic aneurysm, without rupture | Use when an AAA is confirmed during screening. |
|
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 abdominal aortic aneurysm screening
Essential facts and insights about Abdominal Aortic Aneurysm Screening
Primary ICD-10-CM Codes for abdominal aortic aneurysm screening
Decision Criteria
clinical Criteria
- Patient is male, aged 65-75, with a history of smoking.
documentation Criteria
- Referral note specifies screening per USPSTF guidelines.
Applicable To
- Screening for abdominal aortic aneurysm
Excludes
- Diagnostic examination for cardiovascular disorders (I71.4)
Clinical Validation Requirements
- Patient age 65-75
- History of smoking or family history of AAA
Code-Specific Risks
- Using without documenting risk factors like age and smoking history.
Coding Notes
- Ensure documentation includes specific risk factors for screening eligibility.
I71.4 - Abdominal aortic aneurysm, without rupture
Use when an AAA is confirmed during screening.
Applicable To
- Aneurysm of abdominal aorta without rupture
Excludes
- Ruptured abdominal aortic aneurysm (I71.3)
Clinical Validation Requirements
- Ultrasound report showing aortic diameter ≥3.0 cm
Coding Notes
Ensure imaging report includes specific measurements and technique.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Abdominal Aortic Aneurysm Screening to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z13.6.
Impact
Clinical: Inaccurate diagnosis of AAA., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure imaging reports include diameter measurements., Train staff on documentation standards.
Impact
Reimbursement: May lead to denial of claims if risk factors are not documented., Compliance: Non-compliance with USPSTF guidelines., Data Quality: Inaccurate data on screening eligibility.
Mitigation Strategy
Include age and smoking history in documentation.
Impact
Reimbursement: Incorrect billing may result in denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Misclassification of ultrasound purpose.
Mitigation Strategy
Use 76706 specifically for screening studies.
Impact
Audits may focus on eligibility criteria documentation.
Mitigation Strategy
Ensure all documentation includes age and smoking history.
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 Abdominal Aortic Aneurysm Screening, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Abdominal Aortic Aneurysm Screening
Use these documentation templates to ensure complete and accurate documentation for Abdominal Aortic Aneurysm Screening. These templates include all required elements for proper coding and billing.
Screening Referral Note
Specialty: Primary CareRequired Elements
- Patient age
- Smoking history
- Referral for AAA screening
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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