ICD-10 Coding for Abdominal Aortic Aneurysm without Rupture(I71.40, I71.41, I71.42, I71.43)
Complete ICD-10-CM coding and documentation guide for Abdominal Aortic Aneurysm without Rupture. 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 without Rupture
I71.4-I71.43Primary Range
Abdominal aortic aneurysm without rupture
This range includes codes for abdominal aortic aneurysms without rupture, specifying different anatomical locations.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I71.40 | Abdominal aortic aneurysm, without rupture, unspecified | Use when the location of the aneurysm is not specified. |
|
| I71.41 | Abdominal aortic aneurysm, without rupture, pararenal | Use when the aneurysm is located at the pararenal region. |
|
| I71.42 | Abdominal aortic aneurysm, without rupture, juxtarenal | Use when the aneurysm is located at the juxtarenal region. |
|
| I71.43 | Abdominal aortic aneurysm, without rupture, infrarenal | Use when the aneurysm is located at the infrarenal region. |
|
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 without rupture
Essential facts and insights about Abdominal Aortic Aneurysm without Rupture
Primary ICD-10-CM Codes for abdominal aortic aneurysm without rupture
Decision Criteria
documentation Criteria
- Documentation must specify 'without rupture'.
Applicable To
- Non-ruptured abdominal aortic aneurysm
Excludes
- Ruptured abdominal aortic aneurysm (I71.3-)
Clinical Validation Requirements
- Imaging confirmation of aneurysm
- Documentation of non-rupture status
Code-Specific Risks
- Potential for upcoding if rupture status is not documented
Coding Notes
- Ensure documentation specifies 'without rupture' to avoid incorrect coding.
I71.41 - Abdominal aortic aneurysm, without rupture, pararenal
Use when the aneurysm is located at the pararenal region.
Applicable To
- Pararenal AAA without rupture
Excludes
- Ruptured abdominal aortic aneurysm (I71.3-)
Clinical Validation Requirements
- Imaging showing pararenal location
- Documentation of non-rupture status
Coding Notes
Ensure documentation specifies 'pararenal' location.
I71.42 - Abdominal aortic aneurysm, without rupture, juxtarenal
Use when the aneurysm is located at the juxtarenal region.
Applicable To
- Juxtarenal AAA without rupture
Excludes
- Ruptured abdominal aortic aneurysm (I71.3-)
Clinical Validation Requirements
- Imaging showing juxtarenal location
- Documentation of non-rupture status
Coding Notes
Ensure documentation specifies 'juxtarenal' location.
I71.43 - Abdominal aortic aneurysm, without rupture, infrarenal
Use when the aneurysm is located at the infrarenal region.
Applicable To
- Infrarenal AAA without rupture
Excludes
- Ruptured abdominal aortic aneurysm (I71.3-)
Clinical Validation Requirements
- Imaging showing infrarenal location
- Documentation of non-rupture status
Coding Notes
Ensure documentation specifies 'infrarenal' location.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening for cardiovascular disorders
Z13.6Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Ruptured abdominal aortic aneurysm
I71.3-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Abdominal Aortic Aneurysm without Rupture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I71.40.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or incorrect reimbursement.
Mitigation Strategy
Ensure rupture status is documented in all relevant notes., Use templates that prompt for rupture status.
Impact
Reimbursement: Incorrect coding may lead to reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Query provider for specific location details to use the correct code.
Impact
Risk of using unspecified codes when specific location is documented.
Mitigation Strategy
Implement provider education on the importance of documenting specific locations.
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 without Rupture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Abdominal Aortic Aneurysm without Rupture
Use these documentation templates to ensure complete and accurate documentation for Abdominal Aortic Aneurysm without Rupture. These templates include all required elements for proper coding and billing.
Routine Screening for AAA
Specialty: Vascular SurgeryRequired Elements
- Patient demographics
- Family history of AAA
- Imaging results
- Aneurysm size and location
- Rupture status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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