ICD Code I77.819

ICD code I77.819 is used to identify aortic ectasia at an unspecified site. Aortic ectasia refers to a mild enlargement or dilation of the aorta, which is the main artery that carries blood from the heart to the rest of the body. This code is utilized when the specific location of the ectasia within the aorta is not detailed in the medical documentation. Proper coding of such conditions is crucial for accurate billing and effective management of patient records within the healthcare revenue cycle.

1. Presence of Aortic Dilation: The aorta shows signs of dilation or enlargement, but the specific site of the dilation is not clearly identified or documented.

2. Absence of Aneurysm Characteristics: The dilation does not meet the criteria for an aneurysm, such as a significant increase in diameter or the presence of a bulge that is at least 50% larger than the normal size of the aorta.

3. Imaging Confirmation: Diagnostic imaging, such as an ultrasound, CT scan, or MRI, confirms the presence of aortic dilation without specifying the exact location along the aorta.

4. Lack of Specific Symptoms: The patient may not exhibit specific symptoms directly attributable to the aortic ectasia, such as chest pain or back pain, which are more commonly associated with more severe aortic conditions.

5. Exclusion of Other Aortic Conditions: Other aortic conditions, such as aortic dissection or aortic rupture, have been ruled out through clinical evaluation and imaging studies.

6. Clinical Evaluation: A thorough clinical evaluation by a healthcare provider has been conducted, and other potential causes of aortic dilation have been considered and excluded.

7. Documentation in Medical Records: The condition is documented in the patient's medical records as aortic ectasia without a specified site, based on the available clinical and imaging information.

For the ICD code I77.819 (Aortic ectasia, unspecified site), the relevant CPT codes that may be applicable for treatment or diagnostic procedures include:

1. CPT 75600 - Aortography, thoracic, without serialography, radiological supervision and interpretation.

2. CPT 75605 - Aortography, thoracic, with serialography, radiological supervision and interpretation.

3. CPT 75625 - Aortography, abdominal, by serialography, radiological supervision and interpretation.

4. CPT 75630 - Aortography, abdominal, with bilateral iliofemoral lower extremity runoff, radiological supervision and interpretation.

5. CPT 93306 - Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography.

6. CPT 93307 - Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, complete, without spectral or color Doppler echocardiography.

7. CPT 93308 - Echocardiography, transthoracic, real-time with image documentation (2D), follow-up or limited study.

These CPT codes are typically used for diagnostic imaging and evaluation procedures that may be relevant for assessing and managing aortic ectasia. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical context.

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