ICD-10 Coding for History of Brain Aneurysm(Z86.79, Z82.49)
Complete ICD-10-CM coding and documentation guide for History of Brain Aneurysm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Brain Aneurysm
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.79 | Personal history of other diseases of the circulatory system | Use when documenting a patient's personal history of a brain aneurysm that has been treated or resolved. |
|
| Z82.49 | Family history of ischemic heart disease and other diseases of the circulatory system | Use when documenting a family history of brain aneurysms. |
|
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 history of brain aneurysm
Essential facts and insights about History of Brain Aneurysm
Primary ICD-10-CM Codes for history of brain aneurysm
Decision Criteria
documentation Criteria
- Explicit mention of 'history of brain aneurysm' in patient records
Applicable To
- Personal history of brain aneurysm
Excludes
- Current cerebral aneurysm (I67.1)
Clinical Validation Requirements
- Documented history of treated or resolved brain aneurysm
- Imaging reports confirming aneurysm treatment or resolution
Code-Specific Risks
- Misuse for active aneurysms
- Incorrectly used without proper documentation of history
Coding Notes
- Ensure documentation clearly states 'history of' to avoid confusion with active conditions.
Z82.49 - Family history of ischemic heart disease and other diseases of the circulatory system
Use when documenting a family history of brain aneurysms.
Applicable To
- Family history of brain aneurysm
Excludes
- Personal history of brain aneurysm (Z86.79)
Clinical Validation Requirements
- Family history documented in patient records
Coding Notes
Ensure family history is clearly documented to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z09Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Brain Aneurysm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.79.
Impact
Clinical: Potential misinterpretation of patient's medical history., Regulatory: Non-compliance with documentation standards., Financial: Incorrect coding leading to billing errors.
Mitigation Strategy
Use specific terms like 'coiled' or 'clipped', Document imaging results
Impact
Reimbursement: Incorrect DRG assignment and potential reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use Z86.79 for history of treated or resolved aneurysms.
Impact
Risk of coding active aneurysms as historical.
Mitigation Strategy
Regular training on documentation 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 History of Brain Aneurysm, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Brain Aneurysm
Use these documentation templates to ensure complete and accurate documentation for History of Brain Aneurysm. These templates include all required elements for proper coding and billing.
Routine follow-up after aneurysm treatment
Specialty: NeurosurgeryRequired Elements
- Type of aneurysm
- Location and laterality
- Treatment details
- Current status
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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