ICD-10 Coding for Screening Abdominal Aortic Aneurysm(Z13.6, I71.4)
Complete ICD-10-CM coding and documentation guide for Screening Abdominal Aortic Aneurysm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Screening Abdominal Aortic Aneurysm
Z13-Z13.9Primary Range
Encounter for screening for other diseases and disorders
This range includes codes for encounters specifically for screening purposes, such as Z13.6 for AAA screening.
Aortic aneurysm and dissection
This range includes codes for aortic aneurysms, which may be identified during screening.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z13.6 | Encounter for screening for cardiovascular disorders | Use for asymptomatic patients undergoing screening for AAA per USPSTF guidelines. |
|
| I71.4 | Abdominal aortic aneurysm, without rupture | Use when an aneurysm is detected during screening. |
|
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 screening abdominal aortic aneurysm
Essential facts and insights about Screening Abdominal Aortic Aneurysm
Primary ICD-10-CM Codes for screening abdominal aortic aneurysm
Decision Criteria
clinical Criteria
- Patient is asymptomatic and meets screening criteria.
documentation Criteria
- Screening order specifies USPSTF guidelines.
Applicable To
- Screening for abdominal aortic aneurysm
Excludes
- Diagnostic evaluation of cardiovascular disorders
Clinical Validation Requirements
- Documented order for screening based on USPSTF guidelines
- Absence of symptoms related to AAA
- Patient meets Medicare eligibility criteria
Code-Specific Risks
- Using for symptomatic patients
- Incorrectly pairing with diagnostic ultrasound codes
Coding Notes
- Ensure documentation supports the screening purpose and criteria.
I71.4 - Abdominal aortic aneurysm, without rupture
Use when an aneurysm is detected during screening.
Applicable To
- Asymptomatic abdominal aortic aneurysm
Excludes
- Ruptured abdominal aortic aneurysm
Clinical Validation Requirements
- Ultrasound report confirming aneurysm
- No signs of rupture or acute symptoms
Coding Notes
Ensure the aneurysm is documented as asymptomatic.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Nicotine dependence, cigarettes, uncomplicated
F17.210Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Screening Abdominal Aortic Aneurysm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z13.6.
Impact
Clinical: May lead to inappropriate screening recommendations., Regulatory: Non-compliance with Medicare criteria., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Always document smoking history for patients 65-75 years old., Use templates to ensure all criteria are captured.
Impact
Reimbursement: Claims may be denied if Z13.6 is used incorrectly., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on screening vs. diagnostic encounters.
Mitigation Strategy
Use appropriate diagnostic codes if symptoms are present.
Impact
Reimbursement: Incorrect billing may lead to denials., Compliance: Non-compliance with procedural coding guidelines., Data Quality: Misclassification of diagnostic vs. screening procedures.
Mitigation Strategy
Use 76775 or 93978 for diagnostic ultrasounds.
Impact
Inadequate documentation of screening criteria and patient eligibility.
Mitigation Strategy
Use standardized templates and ensure all criteria are documented.
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 Screening Abdominal Aortic Aneurysm, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Screening Abdominal Aortic Aneurysm
Use these documentation templates to ensure complete and accurate documentation for Screening Abdominal Aortic Aneurysm. These templates include all required elements for proper coding and billing.
AAA Screening Encounter
Specialty: Primary CareRequired Elements
- Patient demographics
- Risk factors (e.g., smoking history)
- Screening order details
- Ultrasound findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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