ICD-10 Coding for Bilateral Lower Extremity Deep Vein Thrombosis(I824Y3, I825Y3)
Complete ICD-10-CM coding and documentation guide for Bilateral Lower Extremity 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 Bilateral Lower Extremity Deep Vein Thrombosis
I82.4-I82.5Primary Range
Embolism and thrombosis of veins of lower extremities
This range includes codes for acute and chronic DVT of the lower extremities, including bilateral cases.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I824Y3 | Acute embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral | Use when acute bilateral proximal DVT is confirmed by imaging and documented as acute. |
|
| I825Y3 | Chronic embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral | Use when chronic bilateral proximal DVT is documented and confirmed. |
|
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 bilateral lower extremity DVT
Essential facts and insights about Bilateral Lower Extremity Deep Vein Thrombosis
Primary ICD-10-CM Codes for bilateral lower extremity deep vein thrombosis
Decision Criteria
clinical Criteria
- Imaging shows bilateral proximal vein involvement
documentation Criteria
- Provider documents acute bilateral DVT
Applicable To
- Acute bilateral proximal DVT
Excludes
- Chronic DVT (I825Y3)
Clinical Validation Requirements
- Imaging confirmation of bilateral proximal vein involvement
- Documentation of acute status
Code-Specific Risks
- Misclassification if chronic DVT is present
Coding Notes
- Ensure documentation specifies vein location and acuity.
I825Y3 - Chronic embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral
Use when chronic bilateral proximal DVT is documented and confirmed.
Applicable To
- Chronic bilateral proximal DVT
Excludes
- Acute DVT (I824Y3)
Clinical Validation Requirements
- Documentation of chronic status and duration
- Imaging confirmation of bilateral involvement
Coding Notes
Ensure documentation specifies vein location and chronicity.
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.
Acute embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral
I824Z3Chronic embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral
I825Z3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bilateral Lower Extremity Deep Vein Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I824Y3.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Require explicit documentation of acuity, Verify imaging reports
Impact
Reimbursement: Incorrect coding can lead to denied claims or incorrect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify the chronicity of the condition through documentation and imaging.
Impact
Lack of documentation on whether DVT is acute or chronic.
Mitigation Strategy
Implement mandatory fields in EHR for acuity documentation.
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 Bilateral Lower Extremity Deep Vein Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bilateral Lower Extremity Deep Vein Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Bilateral Lower Extremity Deep Vein Thrombosis. These templates include all required elements for proper coding and billing.
Emergency Department Evaluation
Specialty: Emergency MedicineRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Diagnosis
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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