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AHA Coding Clinic® for ICD-9 - 2009 Issue 1; Ask the Editor

Aortic Intramural Hematoma

The patient is a 79-year-old male who was admitted for evaluation of sudden acute onset of back pain. The patient had a chest CT, which revealed type B intramural hematoma. The physician’s final diagnostic statement listed, “Type B aortic thoracic intramural hematoma, chronic hypertension, chronic obstructive pulmonary disease due to chronic smoking.” The patient was aggressively managed, had excellent blood pressure and pulse control and was discharged with arrangements for follow-up imaging. ICD-9-CM does not have a unique code classification for aortic intramural hematoma. Would it be appropriate to assign code 441.01 to capture this condition? ...

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