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2025 ICD-10-CM code I71.5

A ruptured thoracoabdominal aortic aneurysm.

Code first any underlying conditions, such as syphilitic aortic aneurysm (A52.01) or traumatic aortic aneurysm (S25.09, S35.09).

Medical necessity for I71.5 is established by the presence of a ruptured thoracoabdominal aortic aneurysm confirmed by imaging studies and associated clinical findings.The rupture poses an immediate life-threatening condition requiring urgent intervention.

Clinicians responsible for diagnosing and managing I71.5 include vascular surgeons, cardiothoracic surgeons, emergency medicine physicians, and other specialists depending on the patient's condition and the healthcare setting.

In simple words: This code represents a bulge in the large artery that runs from the chest to the abdomen, where the bulge has burst.

Thoracoabdominal aortic aneurysm, ruptured. Code first, if applicable, syphilitic aortic aneurysm (A52.01) or traumatic aortic aneurysm (S25.09, S35.09)

Example 1: A patient presents to the emergency department with sudden, severe back pain, low blood pressure, and a pulsatile abdominal mass. Imaging reveals a ruptured thoracoabdominal aortic aneurysm., A patient with a known thoracoabdominal aortic aneurysm experiences a sudden onset of sharp abdominal pain radiating to the back. Subsequent imaging confirms rupture., During a routine physical exam, a physician detects a pulsatile mass in the abdomen. Imaging studies reveal a thoracoabdominal aortic aneurysm. The patient then develops sudden, intense back pain, and further imaging demonstrates rupture.

Documentation should include the location and size of the aneurysm, presence of rupture, associated symptoms, diagnostic imaging results (e.g., CT, MRI), and treatment plan.

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