2025 ICD-10-CM code I71
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Diseases of arteries, arterioles and capillaries Diseases of the circulatory system (I00-I99) Feed
Aortic aneurysm and dissection.
Medical necessity for the diagnosis and treatment of aortic aneurysms and dissections is established based on clinical presentation, physical examination findings, and imaging results.Intervention is often medically necessary to prevent rupture and life-threatening complications.
Cardiologists, vascular surgeons, and other specialists involved in the diagnosis and treatment of cardiovascular diseases.
- Diseases of the circulatory system (I00-I99)
- I70-I79 (Diseases of arteries, arterioles and capillaries)
In simple words: This code is for a problem with the aorta, the body's largest artery.The aorta might bulge out (aneurysm) or tear (dissection).Both are serious and need treatment.
This code encompasses aortic aneurysms and dissections.An aortic aneurysm is a bulge or widening in the aorta, the body's largest artery. An aortic dissection is a tear in the inner layer of the aorta, causing blood to flow between the layers of the aortic wall.Both conditions can be life-threatening if left untreated.This code should be further specified with additional characters to indicate the location (thoracic, abdominal, etc.) and whether the aneurysm has ruptured.
Example 1: A 65-year-old male presents with sudden onset of severe tearing chest pain radiating to the back.Physical examination reveals a widened pulse pressure and differences in blood pressure between the arms.CT angiography confirms a type A aortic dissection., A 70-year-old female undergoes an abdominal ultrasound which reveals a 5cm abdominal aortic aneurysm.The patient is asymptomatic.The aneurysm is monitored with serial imaging., A 50-year-old male with a history of Marfan syndrome experiences sudden onset of chest pain and syncope.Emergency CT scan shows a ruptured thoracic aortic aneurysm requiring immediate surgical intervention.
Detailed history of present illness, including the onset, character, location, and radiation of pain.Physical examination findings including vital signs, cardiovascular exam, and neurologic exam.Relevant laboratory values (e.g., complete blood count, coagulation studies).Imaging studies (e.g., chest x-ray, CT angiography, transesophageal echocardiogram).Surgical or interventional procedures performed (if any).
** This code is used for both aneurysms and dissections of the aorta.Always use the most specific code available, taking into account location and rupture status.The severity and potential for rupture necessitate prompt diagnosis and intervention.Treatment options may include medication, endovascular repair, or open surgical repair.
- Payment Status: Active
- Specialties:Cardiology, Vascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center