ICD-10 Coding for Deep Vein Thrombosis of Left Lower Extremity(I82.442, I82.5X2, Z86.718)
Complete ICD-10-CM coding and documentation guide for Deep Vein Thrombosis of Left Lower Extremity. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Deep Vein Thrombosis of Left Lower Extremity
I80-I89Primary Range
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
This range includes codes for various venous conditions, including deep vein thrombosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I82.442 | Acute embolism and thrombosis of left tibial vein | Use for acute DVT of the left tibial vein with symptom onset less than 30 days. |
|
| I82.5X2 | Chronic embolism and thrombosis of left lower extremity | Use for chronic DVT with ongoing anticoagulation and resolved acute symptoms. |
|
| Z86.718 | Personal history of other venous thrombosis and embolism | Use when DVT is resolved and patient is on prophylactic anticoagulation. |
|
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 left leg
Essential facts and insights about Deep Vein Thrombosis of Left Lower Extremity
Primary ICD-10-CM Codes for deep vein thrombosis left lower extremity
Decision Criteria
clinical Criteria
- Acute symptoms and positive ultrasound findings
I82.5X2 - Chronic embolism and thrombosis of left lower extremity
Use for chronic DVT with ongoing anticoagulation and resolved acute symptoms.
Applicable To
- Chronic DVT of left lower extremity
Excludes
- Acute DVT (I82.4X2)
Clinical Validation Requirements
- Recanalization on ultrasound
- History of anticoagulation therapy
Coding Notes
Document chronicity and anticoagulation status.
Z86.718 - Personal history of other venous thrombosis and embolism
Use when DVT is resolved and patient is on prophylactic anticoagulation.
Applicable To
- History of DVT
Excludes
- Current DVT (I82.4X2, I82.5X2)
Clinical Validation Requirements
- Resolved DVT with no active clot
Coding Notes
Ensure documentation reflects resolved status.
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.
Phlebitis and thrombophlebitis of femoral vein
I80.1Personal history of venous thrombosis and embolism
Z86.718Chronic embolism and thrombosis of left lower extremity
I82.5X2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Deep Vein Thrombosis of Left Lower Extremity to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.442.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increases risk of audit and penalties., Financial: Potential for denied claims and revenue loss.
Mitigation Strategy
Ensure detailed documentation, Use specific vein names
Impact
Reimbursement: Incorrect coding may lead to improper reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data.
Mitigation Strategy
Verify chronicity through clinical documentation and imaging.
Impact
Misclassification of DVT chronicity can lead to audit issues.
Mitigation Strategy
Ensure documentation clearly states chronicity and treatment.
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 Deep Vein Thrombosis of Left Lower Extremity, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Deep Vein Thrombosis of Left Lower Extremity
Use these documentation templates to ensure complete and accurate documentation for Deep Vein Thrombosis of Left Lower Extremity. These templates include all required elements for proper coding and billing.
Acute DVT in Emergency Department
Specialty: Emergency MedicineRequired Elements
- Chief complaint
- Imaging results
- Assessment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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