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

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

Also known as:

Aortic Root DilatationThoracic Aortic Ectasia

Related ICD-10 Code Ranges

Complete code families applicable to Aortic Root Enlargement

I71-I77Primary Range

Diseases of the arteries, arterioles, and capillaries

This range includes codes for aortic aneurysms and ectasia, which are relevant to aortic root enlargement.

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 when the aortic root is enlarged but does not meet the criteria for an aneurysm.
  • CT scan showing aortic root diameter <5.5 cm
  • No evidence of aneurysm
I71.21Aneurysm of ascending aorta without ruptureUse when the aortic root is classified as an aneurysm.
  • CT scan showing aortic root diameter ≥5.5 cm

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 root enlargement

Essential facts and insights about Aortic Root Enlargement

The ICD-10 code for aortic root enlargement is I77.810 for ectasia and I71.21 for aneurysm.

Primary ICD-10-CM Codes for aortic root enlargement

Thoracic aortic ectasia
Billable Code

Decision Criteria

clinical Criteria

  • Aortic root diameter <5.5 cm

Applicable To

  • Aortic root dilatation

Excludes

Clinical Validation Requirements

  • CT scan showing aortic root diameter <5.5 cm
  • No evidence of aneurysm

Code-Specific Risks

  • Misclassification as aneurysm

Coding Notes

  • Ensure documentation specifies ectasia vs. aneurysm.

Ancillary Codes

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

Nonrheumatic aortic valve insufficiency

I35.1
Use if there is associated aortic regurgitation.

Marfan syndrome

Q87.4
Use if the aneurysm is associated with 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 if the aortic root diameter is ≥5.5 cm and classified as an aneurysm.

Thoracic aortic ectasia

I77.810
Use if the aortic root diameter is <5.5 cm and not classified as an aneurysm.

Documentation & Coding Risks

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

Impact

Clinical: May lead to incorrect treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.

Mitigation Strategy

Ensure detailed imaging reports are included.

Impact

Reimbursement: Incorrect classification may affect DRG assignment., Compliance: Misclassification can lead to compliance issues., Data Quality: Affects accuracy of clinical data.

Mitigation Strategy

Verify aortic root diameter and classify correctly.

Impact

Misclassification of aortic root conditions.

Mitigation Strategy

Regular training on imaging interpretation and coding guidelines.

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 Root Enlargement, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Aortic Root Enlargement

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

Aortic Root Assessment

Specialty: Cardiology

Required Elements

  • Aortic root diameter
  • Morphology
  • Wall integrity
  • Valve function
  • Etiology

Example Documentation

Aortic Root Assessment: Diameter: __ mm at sinuses of Valsalva, Morphology: Trileaflet, Wall integrity: No dissection, Valve function: Competent, Etiology: Degenerative

Examples: Poor vs. Good Documentation

Poor Documentation Example
Enlarged aortic root noted on imaging.
Good Documentation Example
CT angiography demonstrates 52mm aortic root diameter at sinuses of Valsalva with preserved trilaminar wall structure.
Explanation
The good example provides specific measurements and anatomical details.

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

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