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2025 ICD-10-CM code I77.2

Rupture of an artery.

Medical necessity for coding I77.2 is established by the presence of a confirmed arterial rupture.The condition requires immediate medical attention due to the potential for life-threatening complications such as severe bleeding and organ damage. Treatment decisions and the level of care needed are based on the severity of the rupture and its location.

The clinical responsibility for I77.2 involves the diagnosis and management of arterial rupture.This includes identifying the location and extent of the rupture through imaging studies (such as ultrasound, CT scan, or angiography), managing any acute bleeding, and potentially surgical repair or other interventional procedures depending on the severity and location. Post-operative care and monitoring of the patient are also crucial aspects.

IMPORTANT:Consider other I77 codes for related conditions like arteriovenous fistula (I77.0), arterial stricture (I77.1), arterial fibromuscular dysplasia (I77.3), celiac artery compression syndrome (I77.4), arterial necrosis (I77.5), unspecified arteritis (I77.6), and other specified arterial dissections (I77.7-I77.73). Traumatic ruptures should be coded under injury codes.

In simple words: This code means a blood vessel (artery) has broken or torn open, causing bleeding. The severity depends on where the tear is and how much damage is done.

I77.2, Rupture of artery, in the ICD-10-CM classification, denotes the rupture of an artery.This includes the breaking or tearing of the arterial wall, leading to bleeding. The location of the rupture and the extent of the damage can vary significantly, impacting the severity of the condition.Associated conditions such as erosion, fistula, or ulceration of the artery are also considered under this code.However, traumatic ruptures should be coded under the appropriate injury codes rather than I77.2.

Example 1: A 60-year-old male patient with a history of hypertension presents to the emergency room with sudden onset of severe abdominal pain and hypotension.A CT scan reveals a ruptured abdominal aortic aneurysm.Code I77.2 is assigned., A 45-year-old female patient with a history of autoimmune disease experiences a spontaneous rupture of a cerebral artery, leading to a stroke.Code I77.2 is assigned, along with appropriate codes for the stroke., A 70-year-old male patient with peripheral artery disease develops a rupture of a superficial artery in the leg, causing significant bleeding.Code I77.2 is assigned along with codes to indicate the location and other related complications.

Detailed patient history, including risk factors (hypertension, trauma, vascular disease, etc.).Imaging studies (ultrasound, CT scan, angiography, etc.) confirming the rupture and its location.Results of blood tests (hemoglobin, hematocrit, etc.) indicating blood loss.Documentation of any treatment provided (surgical repair, embolization, etc.) and the patient's response to treatment.

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