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ICD-10 Coding for Left Paraophthalmic Internal Carotid Artery Aneurysm(I67.1, I60.7)

Complete ICD-10-CM coding and documentation guide for Left Paraophthalmic Internal Carotid Artery Aneurysm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Left Paraophthalmic ICA AneurysmLeft Supraclinoid ICA Aneurysm

Related ICD-10 Code Ranges

Complete code families applicable to Left Paraophthalmic Internal Carotid Artery Aneurysm

I67-I67.9Primary Range

Other cerebrovascular diseases

This range includes codes for cerebral aneurysms, which are relevant for paraophthalmic ICA aneurysms.

Other aneurysm

This range is used for non-cerebral aneurysms and should be avoided for paraophthalmic ICA aneurysms.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I67.1Cerebral aneurysm, nonrupturedUse when the aneurysm is confirmed in the cerebral location and is nonruptured.
  • Imaging confirmation of aneurysm in the paraophthalmic segment
  • Documentation of 'supraclinoid' or 'paraclinoid' location
I60.7Subarachnoid hemorrhage from other intracranial arteriesUse when the aneurysm has ruptured, causing subarachnoid hemorrhage.
  • Imaging showing subarachnoid hemorrhage
  • Documentation of rupture

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 left paraophthalmic ICA aneurysm

Essential facts and insights about Left Paraophthalmic Internal Carotid Artery Aneurysm

The ICD-10 code for a nonruptured left paraophthalmic ICA aneurysm is I67.1.

Primary ICD-10-CM Codes for lymphocytes paraophthalamic internal carotid artery aneurysm

Cerebral aneurysm, nonruptured
Billable Code

Decision Criteria

clinical Criteria

  • Aneurysm located in the paraophthalmic segment of the ICA

documentation Criteria

  • Documentation includes 'supraclinoid' or 'paraclinoid'

Applicable To

  • Supraclinoid aneurysm
  • Paraclinoid aneurysm

Excludes

  • Ruptured cerebral aneurysm (I60.7)

Clinical Validation Requirements

  • Imaging confirmation of aneurysm in the paraophthalmic segment
  • Documentation of 'supraclinoid' or 'paraclinoid' location

Code-Specific Risks

  • Misclassification as a non-cerebral aneurysm
  • Failure to document specific location

Coding Notes

  • Ensure documentation specifies the cerebral location to avoid incorrect coding.

Ancillary Codes

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

Paralytic strabismus

H49.0-
Use if oculomotor nerve palsy is present due to the aneurysm.

Differential Codes

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

Aneurysm of carotid artery

I72.0
Use only if the aneurysm is not specified as cerebral or is extracranial.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Left Paraophthalmic Internal Carotid Artery Aneurysm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I67.1.

Impact

Clinical: Inaccurate clinical records regarding patient condition., Regulatory: Potential for audit due to incorrect coding., Financial: Incorrect DRG assignment affecting reimbursement.

Mitigation Strategy

Always confirm rupture status with imaging, Include rupture status in all relevant documentation

Impact

Reimbursement: May result in lower DRG assignment and reimbursement., Compliance: Could trigger audits due to incorrect code usage., Data Quality: Impacts accuracy of clinical data and reporting.

Mitigation Strategy

Ensure documentation specifies 'supraclinoid' or 'paraclinoid' to confirm cerebral location.

Impact

Risk of coding cerebral aneurysms as non-cerebral due to vague documentation.

Mitigation Strategy

Require specific anatomic details in documentation.

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 Left Paraophthalmic Internal Carotid Artery Aneurysm, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Left Paraophthalmic Internal Carotid Artery Aneurysm

Use these documentation templates to ensure complete and accurate documentation for Left Paraophthalmic Internal Carotid Artery Aneurysm. These templates include all required elements for proper coding and billing.

Documenting a nonruptured left paraophthalmic ICA aneurysm

Specialty: Neurosurgery

Required Elements

  • Anatomic location
  • Rupture status
  • Imaging findings

Example Documentation

CTA reveals a 5mm saccular aneurysm at the left paraophthalmic ICA, supraclinoid segment. No rupture.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Carotid artery aneurysm noted.
Good Documentation Example
4mm saccular aneurysm of left paraophthalmic ICA (supraclinoid), unruptured.
Explanation
The good example specifies the cerebral location and rupture status, ensuring accurate coding.

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