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I72.3
ICD-10-CM
Iliac Artery Aneurysm

Learn about iliac artery aneurysm diagnosis, including clinical documentation requirements, ICD-10 codes (I72.4), medical coding guidelines, and healthcare best practices. Find information on symptoms, treatment options, and risk factors for iliac artery aneurysms. This resource provides essential information for physicians, coders, and other healthcare professionals involved in the diagnosis and management of iliac artery aneurysms.

Also known as

Iliac Aneurysm
Aneurysm of Iliac Artery

Diagnosis Snapshot

Key Facts
  • Definition : Localized widening of the iliac artery, potentially leading to rupture.
  • Clinical Signs : Often asymptomatic, but may cause abdominal or back pain, pulsating mass.
  • Common Settings : Vascular surgery clinics, interventional radiology, emergency departments.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC I72.3 Coding
I72.4

Aneurysm of iliac artery

Localized abnormal dilation of the iliac artery.

I71

Aneurysm of aorta

Aneurysms affecting the aorta, potentially including the iliac arteries.

I77.0

Arteriovenous fistula

Abnormal connection between artery and vein, sometimes associated with aneurysms.

I79.2

Peripheral angiopathy

Disease of peripheral blood vessels, potentially a complication of iliac artery aneurysms.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the iliac artery aneurysm ruptured?

  • Yes

    Involves right iliac artery?

  • No

    Involves right iliac artery?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Iliac artery aneurysm
Abdominal aortic aneurysm
Iliac artery stenosis

Documentation Best Practices

Documentation Checklist
  • Document aneurysm location (e.g., common iliac, internal, external)
  • Specify aneurysm size (cm) and morphology
  • Record symptoms (e.g., abdominal pain, back pain, limb ischemia)
  • Document diagnostic methods (e.g., ultrasound, CT, angiography)
  • Note presence of complications (e.g., rupture, thrombosis, distal embolism)

Coding and Audit Risks

Common Risks
  • Laterality Coding

    Missing or incorrect laterality (right, left, bilateral) for the iliac artery aneurysm impacts reimbursement and data accuracy.

  • Ruptured vs. Unruptured

    Accurate documentation of rupture status is crucial for proper ICD-10 coding (I71.4 vs. I71.3) and severity reflection.

  • Size Specification

    Documenting aneurysm size helps risk stratification and may influence treatment decisions. Coding needs to reflect if it meets size thresholds.

Mitigation Tips

Best Practices
  • Document aneurysm size, location, and morphology using ICD-10-CM I72.4
  • Capture laterality (right, left, or bilateral) for accurate coding and billing.
  • Specify if symptomatic (I72.4) or asymptomatic (I77.1) for proper risk adjustment.
  • Thorough documentation supports medical necessity of imaging/interventions.
  • Regular monitoring and follow-up crucial for compliance and quality of care.

Clinical Decision Support

Checklist
  • 1. Palpable pulsatile abdominal mass? Document size, location.
  • 2. Order abdominal ultrasound: Dx Iliac Artery Aneurysm (ICD-10 I72.4)
  • 3. Assess for back/abdominal pain: Ruptured AAA? (ICD-10 I77.2)
  • 4. >3.5 cm diameter? Consult vascular surgery. Document.

Reimbursement and Quality Metrics

Impact Summary
  • Iliac Artery Aneurysm reimbursement: ICD-10 I72.4, CPT 35081-35114 impacts MS-DRG assignment, influencing hospital payments.
  • Coding accuracy crucial: Iliac aneurysm specificity (e.g., ruptured I72.3) affects DRG, APC, quality metrics, denials.
  • Quality reporting impact: Postoperative complications, length of stay, readmission rates influence hospital value-based purchasing.
  • Accurate coding, documentation vital for iliac aneurysm treatment, optimizing reimbursement and reflecting quality of care.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code I72.4 for ruptured aneurysm
  • Code I72.3 for unruptured
  • Document aneurysm location, size
  • Specify if symptomatic or asymptomatic
  • Consider laterality codes (R/L)

Documentation Templates

Patient presents with complaints concerning iliac artery aneurysm symptoms, including but not limited to lower abdominal or back pain, pulsating abdominal mass, and in some cases, leg pain or numbness.  Differential diagnoses considered include abdominal aortic aneurysm, psoas abscess, and inguinal hernia.  Physical examination revealed  palpable pulsatile mass in the lower abdomen.  Diagnostic imaging, including abdominal ultrasound, CT angiography of the abdomen and pelvis, or MRI angiography, confirmed the presence of an iliac artery aneurysm measuring [insert measurement] cm in diameter involving the [specify right, left, or common iliac artery].  Assessment indicates an iliac artery aneurysm with [specify symptomatic or asymptomatic] presentation.  Patient's risk factors for aneurysm development include [list risk factors e.g., smoking, hypertension, hyperlipidemia, family history].  Treatment plan discussion included watchful waiting with regular monitoring versus endovascular aneurysm repair EVAR or open surgical repair, considering aneurysm size, location, patient symptoms, and overall health status.  Patient education provided regarding iliac artery aneurysm rupture risk factors, signs and symptoms, and the importance of follow-up.  Follow-up scheduled for [date] to reassess aneurysm size and symptoms.  ICD-10 code I72.4 (Iliac artery aneurysm) applies.  CPT codes for relevant procedures performed or planned will be documented separately.
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