I71.51
BillableSupraceliac aneurysm of the thoracoabdominal aorta, ruptured
HCC Category Mapping
V28HCC 264 — Vascular Disease with Complications
0.356V24HCC 107 — Vascular Disease with Complications
0.450ESRDHCC 107 — Vascular Disease with Complications
0.000What This Code Means
A ruptured bulging of the aorta in the chest and upper abdomen area, specifically above the celiac artery.
Coding Tips
- •Supraceliac indicates the aneurysm is located above the celiac artery origin - verify this anatomical detail in imaging reports
- •This is a ruptured aneurysm; document the rupture status clearly and consider coding for shock or other complications
Clinical Significance
Ruptured supraceliac aneurysm of the thoracoabdominal aorta is a catastrophic vascular emergency involving the aortic segment above the celiac trunk. This location makes surgical repair exceptionally challenging due to the need to manage blood flow to visceral organs. The specificity of this code reflects the critical nature of the anatomic involvement and the complexity of required intervention.
Documentation Requirements
- ✓Specific anatomic documentation of supraceliac location (above the celiac artery)
- ✓Evidence of rupture confirmed by imaging, surgical findings, or clinical presentation
- ✓Hemodynamic status and resuscitative measures
- ✓Involvement of branch vessels (celiac, superior mesenteric artery, renal arteries)
- ✓Surgical or endovascular intervention details
- ✓End-organ perfusion status and any ischemic complications
Commonly Confused Codes
I71.61 — Supraceliac aneurysm of the thoracoabdominal aorta, without rupture: intact aneurysm, no ruptureI71.52 — Paravisceral aneurysm of the thoracoabdominal aorta, ruptured: paravisceral involves the visceral segment but is anatomically distinct from supraceliacI71.50 — Thoracoabdominal aortic aneurysm, ruptured, unspecified: less specific — use the supraceliac code when documentation supports itI71.1 — Thoracic aortic aneurysm, ruptured: purely thoracic, does not extend to abdominal segment
Code Hierarchy
└I71Aortic aneurysm and dissection└I71.5Thoracoabdominal aortic aneurysm, ruptured└I71.51Supraceliac aneurysm of the thoracoabdominal aorta, ruptured
└I71.51Supraceliac aneurysm of the thoracoabdominal aorta, ruptured