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ICD-10 Coding for Aortic Dilatation(I77.810, I71.21)

Complete ICD-10-CM coding and documentation guide for Aortic Dilatation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Aortic EctasiaAortic Aneurysm

Related ICD-10 Code Ranges

Complete code families applicable to Aortic Dilatation

I71-I77Primary Range

Diseases of arteries, arterioles, and capillaries

Includes codes for aortic dilatation, ectasia, and aneurysms.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I77.810Thoracic aortic ectasiaUse for thoracic aortic dilatation <3 cm termed as ectasia.
  • Imaging shows dilation <3 cm
  • No dissection present
I71.21Aneurysm of ascending aorta, without ruptureUse for ascending aortic aneurysm ≥3 cm without rupture.
  • Imaging confirms dilation ≥3 cm
  • No rupture present

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 aortic dilatation

Essential facts and insights about Aortic Dilatation

The ICD-10 code for thoracic aortic dilatation, termed as ectasia, is I77.810. For aortic aneurysm, use I71.21 if the dilation is ≥3 cm.

Primary ICD-10-CM Codes for aortic dilatation

Thoracic aortic ectasia
Billable Code

Decision Criteria

clinical Criteria

  • Dilation <3 cm on imaging

Applicable To

  • Mild aortic dilatation

Excludes

  • Aortic aneurysm (I71.x)

Clinical Validation Requirements

  • Imaging shows dilation <3 cm
  • No dissection present

Code-Specific Risks

  • Confusion with aneurysm codes

Coding Notes

  • Ensure documentation specifies 'ectasia' and measures <3 cm.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Marfan syndrome

Q87.4
Sequence first if aortic dilatation is due to Marfan syndrome.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Aneurysm of ascending aorta, without rupture

I71.21
Use when dilation is ≥3 cm.

Thoracic aortic ectasia

I77.810
Use when dilation is <3 cm.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Aortic Dilatation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I77.810.

Impact

Clinical: Misclassification of condition severity, Regulatory: Increased audit risk, Financial: Potential reimbursement issues

Mitigation Strategy

Use standardized templates, Educate clinicians on documentation requirements

Impact

Reimbursement: Incorrect DRG assignment, Compliance: Potential audit risk, Data Quality: Inaccurate clinical data

Mitigation Strategy

Verify size and terminology in documentation.

Impact

Using aneurysm codes for ectasia can trigger audits.

Mitigation Strategy

Ensure documentation specifies 'ectasia' with size <3 cm.

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 Aortic Dilatation, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Aortic Dilatation

Use these documentation templates to ensure complete and accurate documentation for Aortic Dilatation. These templates include all required elements for proper coding and billing.

Aortic dilatation assessment

Specialty: Cardiology

Required Elements

  • Location of dilatation
  • Maximum diameter
  • Measurement method
  • Comparison to prior studies

Example Documentation

AORTIC ASSESSMENT: Location: Ascending aorta, Maximum diameter: 4.2 cm (external edge, perpendicular to flow), Morphology: Fusiform, Comparison: Increased from 3.8 cm on 01/2024 CT.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Aortic root enlargement noted on echo.
Good Documentation Example
Sinus of Valsalva: 4.3 cm (internal diameter, leading-edge method), Ascending aorta: 3.8 cm, No dissection/intramural hematoma.
Explanation
The good example provides specific measurements and methods, supporting accurate coding.

Need help with ICD-10 coding for Aortic Dilatation? Ask your questions below.

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