I72.1
BillableAneurysm of artery of upper extremity
HCC Category Mapping
V24HCC 108 — Vascular Disease
0.297ESRDHCC 108 — Vascular Disease
0.000What This Code Means
A weakened, bulging section of an artery in the arm or hand that can potentially rupture and cause serious bleeding.
Coding Tips
- •Specify laterality (right/left) if documented in the medical record
- •Distinguish between ruptured and non-ruptured aneurysms as they have different codes
Clinical Significance
Aneurysm of an upper extremity artery is uncommon and often associated with occupational repetitive trauma, thoracic outlet syndrome, or connective tissue disorders. These aneurysms carry risk of distal embolization, thrombosis, and limb ischemia. Accurate capture is important for risk adjustment and reflects the presence of underlying vascular pathology requiring ongoing management.
Documentation Requirements
- ✓Identification of specific upper extremity artery involved (subclavian, axillary, brachial, radial, or ulnar)
- ✓Imaging confirmation with size measurements
- ✓Etiology documentation (atherosclerotic, traumatic, connective tissue disorder)
- ✓Assessment of distal perfusion and any embolic complications
- ✓Laterality (right, left, or bilateral)
- ✓Treatment plan (surveillance, anticoagulation, surgical repair)
Commonly Confused Codes
I72.4 — Aneurysm of artery of lower extremity: different extremity locationI72.0 — Aneurysm of carotid artery: carotid is not an upper extremity arteryI72.8 — Aneurysm of other specified arteries: use for arteries not elsewhere classifiedI74.2 — Embolism and thrombosis of arteries of the upper extremities: thromboembolic event, not aneurysm
Code Hierarchy
└I72Other aneurysm└I72.1Aneurysm of artery of upper extremity
└I72.1Aneurysm of artery of upper extremity