I71.61
BillableSupraceliac aneurysm of the thoracoabdominal aorta, without rupture
HCC Category Mapping
V24HCC 108 — Vascular Disease
0.297ESRDHCC 108 — Vascular Disease
0.000What This Code Means
A bulging or weakening of the aorta in the chest and upper abdomen area, specifically above the celiac artery, that has not ruptured.
Coding Tips
- •Confirm the supraceliac location from imaging documentation (CT, MRI, or ultrasound reports)
- •Document the size of the aneurysm and any surveillance plan, as this affects management decisions
Clinical Significance
Supraceliac aneurysm of the thoracoabdominal aorta without rupture involves the aortic segment above the celiac trunk, indicating extensive proximal disease. This specific anatomic designation is important because it determines the complexity of potential surgical repair and the risk to visceral organ perfusion. Documenting this specificity ensures accurate risk stratification for these complex patients.
Documentation Requirements
- ✓Specific documentation of supraceliac location (above the celiac artery origin)
- ✓Imaging confirmation with maximum diameter measurement
- ✓Statement confirming no rupture or leak
- ✓Crawford classification if documented
- ✓Branch vessel involvement assessment
- ✓Surgical risk assessment and management plan
Commonly Confused Codes
I71.51 — Supraceliac aneurysm of the thoracoabdominal aorta, ruptured: ruptured version — significantly different clinical scenario and HCC mappingI71.60 — Thoracoabdominal aortic aneurysm, without rupture, unspecified: less specific code — use supraceliac when documentedI71.62 — Paravisceral aneurysm of the thoracoabdominal aorta, without rupture: different anatomic sub-classificationI71.2 — Thoracic aortic aneurysm, without rupture: purely thoracic, not thoracoabdominal
Code Hierarchy
└I71Aortic aneurysm and dissection└I71.6Thoracoabdominal aortic aneurysm, without rupture└I71.61Supraceliac aneurysm of the thoracoabdominal aorta, without rupture
└I71.61Supraceliac aneurysm of the thoracoabdominal aorta, without rupture