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2025 ICD-10-CM code I71.2

Thoracic aortic aneurysm, without rupture.

Do not use this code for ruptured thoracic aortic aneurysms (I71.1). Code first any underlying conditions, such as syphilis or trauma, if applicable.

Medical necessity is established by the presence of a thoracic aortic aneurysm, which carries a risk of rupture and potentially life-threatening consequences. Treatment is often necessary to prevent rupture, even in asymptomatic cases.

Diagnosis and management of thoracic aortic aneurysms typically falls under the purview of cardiothoracic surgeons, vascular surgeons, or cardiologists.

IMPORTANT:Code first, if applicable: syphilitic aortic aneurysm (A52.01) traumatic aortic aneurysm (S25.09, S35.09)

In simple words: A bulge in the part of the aorta that passes through the chest, which has not burst.

A localized, abnormal dilation of the thoracic aorta that has not ruptured.This code should be used for aneurysms of the ascending aorta, aortic arch, and descending thoracic aorta that are not ruptured.

Example 1: A patient presents with chest pain and shortness of breath. Imaging reveals a dilated thoracic aorta, confirming the diagnosis of a thoracic aortic aneurysm without rupture., A patient with a known history of Marfan syndrome undergoes regular imaging surveillance.An asymptomatic thoracic aortic aneurysm is detected., During a routine physical exam, a physician detects a pulsatile mass in the chest. Further investigation with imaging studies confirms a thoracic aortic aneurysm without rupture.

Documentation should include the location and size of the aneurysm, presence or absence of symptoms, and any associated conditions. Imaging reports confirming the diagnosis are essential.

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