Understanding Family History of Brain Aneurysm (Family History of Cerebral Aneurysm, Family Hx of Brain Aneurysm) is crucial for accurate clinical documentation and medical coding. This significant risk factor influences diagnosis, treatment, and patient management. Learn about documenting family history, relevant ICD-10 codes, and the importance of this information in healthcare.
Also known as
Personal history of medical conditions
Codes for personal history of various medical conditions, including family history.
Cerebrovascular diseases
Covers various cerebrovascular conditions, though not family history specifically.
Factors influencing health status and contact with health services
Broad category including family history and other factors impacting health.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the family history of brain aneurysm confirmed?
Yes
Is the patient symptomatic?
No
Do NOT code family history of brain aneurysm. Insufficient documentation.
When to use each related code
| Description |
|---|
| Family history of brain aneurysm. |
| Brain aneurysm (unruptured). |
| Subarachnoid hemorrhage (SAH). |
Lack of specific ICD-10-CM code for family history of brain aneurysm may lead to Z83.89 (other family history of disease) usage, impacting risk adjustment.
Insufficient documentation specifying aneurysm type (saccular, fusiform) or location can hinder accurate coding and CDI queries.
Coding family history based on patient-reported information without documented medical confirmation poses an audit risk for HCC coding.
Q: How significant is a family history of brain aneurysm in a patient's risk assessment for developing a cerebral aneurysm?
A: A family history of brain aneurysm, particularly a first-degree relative (parent, sibling, child) with a history of cerebral aneurysm rupture or unruptured aneurysm, significantly increases a patient's risk. While the general population's risk is around 2-3%, having one first-degree relative with a brain aneurysm increases the risk 3- to 5-fold, and having two or more affected relatives increases the risk even further. This increased risk likely stems from shared genetic predispositions and environmental factors. Therefore, taking a thorough family history and constructing a detailed family tree is crucial when assessing a patient's risk. Consider implementing standardized screening protocols for individuals with a positive family history. Explore how genetic testing and counseling can play a role in risk stratification and management for these patients.
Q: What specific screening recommendations should I follow for patients with a family history of ruptured or unruptured intracranial aneurysms?
A: Current guidelines lack a universal screening protocol for all patients with a family history of intracranial aneurysms, whether ruptured or unruptured. However, for asymptomatic patients with two or more first-degree relatives with a history of intracranial aneurysms, screening with non-invasive imaging, such as Magnetic Resonance Angiography (MRA) or Computed Tomography Angiography (CTA), is generally recommended. For patients with one affected first-degree relative, the decision to screen should consider additional risk factors like smoking, hypertension, and connective tissue disorders. Learn more about the latest consensus statements regarding the screening and management of intracranial aneurysms in patients with a positive family history. It's also crucial to discuss the benefits and risks of screening with the patient, given the potential for false positives and the psychological impact of identifying an unruptured aneurysm.
Patient presents for evaluation of family history of brain aneurysm, also known as cerebral aneurysm or intracranial aneurysm. The patient reports a family history of this condition, raising concern for potential inherited risk factors. Specific details regarding the affected family member(s), including relationship to the patient, age at diagnosis, and aneurysm location (e.g., anterior communicating artery aneurysm, posterior communicating artery aneurysm, basilar artery aneurysm) are documented. Assessment includes detailed review of systems, neurological examination, and discussion of risk factors for aneurysm development such as smoking, hypertension, and connective tissue disorders. Differential diagnosis includes other causes of headache or neurological symptoms. Plan includes consideration of screening for brain aneurysm, such as magnetic resonance angiography (MRA) or computed tomography angiography (CTA), based on patient's individual risk stratification. Patient education regarding brain aneurysm symptoms, including sudden severe headache, double vision, stiff neck, and loss of consciousness, is provided. Genetic counseling may be considered for further evaluation of inherited risk. Follow-up is scheduled to discuss imaging results and management plan, if indicated. ICD-10 code Z82.891 (family history of other specified cerebrovascular diseases) is appropriate for documentation and medical billing purposes.