ICD-10 Coding for Acute Deep Venous Thrombosis(I82.401, I82.421)
Complete ICD-10-CM coding and documentation guide for Acute Deep Venous 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 Venous Thrombosis
I82.4-I82.6Primary Range
Embolism and thrombosis of veins
This range includes codes for acute embolism and thrombosis of deep veins in both upper and lower extremities.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I82.401 | Acute embolism and thrombosis of unspecified deep veins of right lower extremity | Use for acute DVT in unspecified deep veins of the right lower extremity. |
|
| I82.421 | Acute embolism and thrombosis of right femoral vein | Use for acute DVT in the right femoral vein. |
|
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 deep venous thrombosis
Essential facts and insights about Acute Deep Venous Thrombosis
Primary ICD-10-CM Codes for acute deep venous thrombosis
Decision Criteria
clinical Criteria
- Presence of acute symptoms and ultrasound confirmation
Applicable To
- Acute DVT of right lower extremity
Excludes
- Chronic DVT (I82.501)
Clinical Validation Requirements
- Duplex ultrasound showing non-compressible vein
- Clinical symptoms such as swelling, pain, or erythema
Code-Specific Risks
- Ensure laterality and specific vein are documented.
Coding Notes
- Ensure documentation specifies 'acute' and the exact location of the DVT.
I82.421 - Acute embolism and thrombosis of right femoral vein
Use for acute DVT in the right femoral vein.
Applicable To
- Acute DVT of right femoral vein
Excludes
- Chronic DVT of right femoral vein (I82.521)
Clinical Validation Requirements
- Duplex ultrasound showing thrombus in the right femoral vein
- Symptoms such as leg swelling and pain
Coding Notes
Ensure documentation specifies 'acute' and the exact location of the DVT.
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 Venous Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.401.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials due to lack of specificity.
Mitigation Strategy
Always specify the vein in the documentation., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Verify the acuity of the condition and use history codes if the DVT is resolved.
Impact
Failure to document the acuity of DVT can lead to audit issues.
Mitigation Strategy
Implement documentation templates that prompt for acuity details.
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 Venous Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Deep Venous Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Acute Deep Venous Thrombosis. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: Emergency MedicineRequired Elements
- Acuity of DVT
- Specific vein affected
- Laterality
- Diagnostic method
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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