ICD-10-CM Billable Code

I71.21

Aneurysm of the ascending aorta, without rupture

Clinical Classification Guidelines

Medical Intelligence & Overview

An aneurysm of the ascending aorta refers to an abnormal bulging or dilation in the section of the main artery that carries blood from the heart to the rest of the body. When diagnosed before any rupture occurs, this condition can be monitored and managed to prevent serious complications. Recognized under ICD-10 code I71.21, this condition requires medical attention for assessment and treatment planning.

Causes & Symptoms

Clinical Causes: Atherosclerosis (buildup of fats and cholesterol in artery walls) Genetic connective tissue disorders such as Marfan syndrome or Ehlers-Danlos syndrome Hypertension (high blood pressure) Infections that weaken arterial walls Trauma or injury to the chest area Age-related degeneration of the arterial walls

Key Symptoms: Often no symptoms in early stages Chest pain or discomfort Pain in the back or neck Shortness of breath Presence of a pulsating feeling in the chest Symptoms of compression on nearby structures, such as hoarseness or cough in advanced cases In cases where the aneurysm enlarges significantly, sudden chest or back pain may occur

Diagnostic & Treatment

Diagnosis Path: Diagnosing an ascending aortic aneurysm typically involves imaging tests to visualize the size and extent of the dilation. These include:

Treatment Protocols: The management of an ascending aortic aneurysm depends on its size, growth rate, and associated risks. Treatment options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is I71.21 a billable ICD-10 code?
Yes, I71.21 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I71.21?
Clinical documentation must specify the nature of Aneurysm of the ascending aorta, without rupture and any associated comorbidities for accurate reporting.

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