I77.2
BillableRupture of artery
HCC Category Mapping
V24HCC 108 — Vascular Disease
0.297ESRDHCC 108 — Vascular Disease
0.000What This Code Means
A tear or break in an artery wall that can cause severe bleeding, either internally or externally, and is a medical emergency.
Coding Tips
- •This is typically an acute condition requiring immediate documentation of location and severity
- •Coordinate with trauma codes if rupture resulted from injury
Clinical Significance
Rupture of an artery is an acute vascular emergency involving the spontaneous or traumatic disruption of an arterial wall. This can cause life-threatening hemorrhage and requires emergent intervention. When not related to an aneurysm, dissection, or other specifically classified condition, this code captures the acute vascular event. The acuity and severity make accurate coding important for risk adjustment.
Documentation Requirements
- ✓Documentation of arterial rupture with identification of the affected artery
- ✓Etiology (spontaneous, traumatic, iatrogenic, secondary to underlying disease)
- ✓Imaging or surgical confirmation of the rupture
- ✓Hemodynamic impact and hemorrhage assessment
- ✓Emergency intervention documentation
- ✓Underlying vascular pathology that led to rupture
Excludes 1 — Do NOT code together
- traumatic rupture of artery - see injury of blood vessel by body region
Commonly Confused Codes
I71.x — Aortic aneurysm, ruptured: use aortic aneurysm rupture codes when aneurysm is the causeI77.1 — Stricture of artery: narrowing, not ruptureI77.0 — Arteriovenous fistula, acquired: may result from arterial injury but is a different pathologyS-codes — Injury of blood vessels: traumatic arterial injury has specific injury codes in the S chapter