ICD-10 Coding for Acute Deep Vein Thrombosis(I82.411, I82.6-)
Complete ICD-10-CM coding and documentation guide for Acute Deep Vein Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Deep Vein Thrombosis
I82.4-I82.6Primary Range
Acute embolism and thrombosis of veins
This range includes codes for acute DVT in both lower and upper extremities.
Long-term (current) use of anticoagulants
Used to indicate long-term anticoagulant therapy in patients with a history of DVT.
Personal history of other venous thrombosis and embolism
Used for patients with resolved DVT who are on prophylactic anticoagulants.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I82.411 | Acute embolism and thrombosis of femoral vein, left leg | Use when acute DVT is confirmed in the left femoral vein. |
|
| I82.6- | Acute embolism and thrombosis of upper extremity veins | Use for acute DVT in upper extremity veins. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for acute DVT
Essential facts and insights about Acute Deep Vein Thrombosis
Primary ICD-10-CM Codes for acute deep vein thrombosis
Decision Criteria
clinical Criteria
- Presence of acute symptoms and imaging confirmation
documentation Criteria
- Explicit mention of 'acute' and affected vein
Applicable To
- Acute DVT of left femoral vein
Excludes
- Chronic DVT (I82.5-)
Clinical Validation Requirements
- Doppler ultrasound showing non-compressible vein
- Elevated D-dimer >500 ng/mL
Code-Specific Risks
- Incorrectly coding as chronic without proper documentation
Coding Notes
- Ensure documentation specifies vein and laterality.
I82.6- - Acute embolism and thrombosis of upper extremity veins
Use for acute DVT in upper extremity veins.
Applicable To
- Acute DVT of upper extremity veins
Excludes
- Chronic DVT of upper extremity (I82.5-)
Clinical Validation Requirements
- Imaging showing acute thrombus in upper extremity veins
Coding Notes
Ensure laterality and specific vein are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of anticoagulants
Z79.01Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute Deep Vein Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.411.
Impact
Clinical: Leads to ambiguous treatment plans., Regulatory: Non-compliance with ICD-10 requirements., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use structured templates., Conduct regular documentation audits.
Impact
Clinical: Misrepresents patient's current condition., Regulatory: Violates coding guidelines., Financial: Incorrect billing and potential audits.
Mitigation Strategy
Review patient history thoroughly., Use appropriate history codes.
Impact
Reimbursement: May lead to reduced reimbursement due to unspecified coding., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always document and code the specific vein and laterality.
Impact
Reimbursement: Incorrect coding may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Misrepresents patient's current clinical status.
Mitigation Strategy
Use Z86.718 and Z79.01 for resolved DVT cases.
Impact
Risk of audits due to unspecified vein or laterality.
Mitigation Strategy
Implement mandatory fields in EHR for vein and laterality.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acute Deep Vein Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Deep Vein Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Acute Deep Vein Thrombosis. These templates include all required elements for proper coding and billing.
Acute DVT Diagnosis
Specialty: Internal MedicineRequired Elements
- Patient history
- Symptom onset and duration
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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