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Wiki Traumatic aortic injury dx coding- excludes notes

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axlundr

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Hello all,

I have a patient that is diagnosed with a traumatic aortic dissection and an aortic pseudo-aneurysm. The dissection injury code (901.0) has an excludes note regarding the aneurysm code - is this a mutually exclusive "excludes" note or is telling me to also code the aneurysm?

I can't wait for ICD-10 to come out so the "excludes" rules will be clearer.

Thanks!
 
I hear ya! In my opinion it would mean that if the aneurysm were due to the dissection then you do not code both. But you might look at the ICD-10 CM code for the traumatic dissection and see if the aneurysm code is an exclude 1 or exclude 2 exclusion, that might help.
 
It looks to me like ICD 10 combines the dissection and the aneurysm into one injury code (S25.09- "other specified injury of the thoracic aorta"). The non-traumatic dissection / aneurysm code (I171.x) has an Excludes 1 note for traumatic aortic aneurysm.

Thank you!
 
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