ICD Code I71.40

ICD code I71.40 is used to classify a medical condition where there is an enlargement or bulging of the abdominal aorta, which is the large blood vessel that supplies blood to the abdomen, pelvis, and legs. This code specifically indicates that the aneurysm has not ruptured, but it does not specify any further details about the condition. This code is important for healthcare providers to accurately document and manage the condition for treatment and billing purposes.

1. Presence of an Abdominal Aortic Aneurysm (AAA): The patient must have a confirmed diagnosis of an abdominal aortic aneurysm. This is typically identified through imaging studies such as an ultrasound, CT scan, or MRI that reveal an enlargement of the abdominal aorta.

2. Absence of Rupture: There should be no evidence of rupture. This means the aneurysm has not burst or leaked, which would otherwise present with acute symptoms such as severe abdominal or back pain, hypotension, or signs of shock.

3. Unspecified Details: The specific details regarding the size, location, or etiology of the aneurysm are not required to be specified. The code is used when these details are either unknown or not documented in the patient's medical record.

4. Symptomatology: The patient may be asymptomatic, as many abdominal aortic aneurysms do not present with symptoms until they are large or have ruptured. If symptoms are present, they may include a pulsating feeling near the navel, deep, constant pain in the abdomen or on the side of the abdomen, or back pain.

5. Clinical Evaluation: The diagnosis should be supported by a clinical evaluation from a healthcare provider, which may include a physical examination and review of the patient's medical history.

6. Monitoring and Management Plan: The use of this code often accompanies a plan for regular monitoring and management, which may include lifestyle modifications, medication, or surgical intervention depending on the size and growth rate of the aneurysm.

For the ICD code I71.40, which pertains to an abdominal aortic aneurysm without rupture, unspecified, the relevant CPT codes that may be applicable for treatment or management include:

1. 34800 - Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis.

2. 34802 - Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (1 docking limb).

3. 34803 - Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (2 docking limbs).

4. 34804 - Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody bifurcated prosthesis.

5. 34805 - Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-uni-iliac or aorto-uni-femoral prosthesis.

6. 34825 - Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac artery aneurysm, for extension of aortic or iliac body component.

7. 34812 - Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral.

8. 34820 - Open iliac artery exposure, by abdominal or retroperitoneal incision, unilateral, for delivery of aortic endovascular prosthesis.

These CPT codes are typically used in the context of procedures related to the management or repair of an abdominal aortic aneurysm without rupture. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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