ICD-10 Coding for Deep Vein Thrombosis Right Leg(I82.4Z1, I82.401)
Complete ICD-10-CM coding and documentation guide for Deep Vein Thrombosis Right Leg. 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 Right Leg
I82.4-I82.5Primary Range
Embolism and thrombosis of veins of lower extremities
This range includes codes for acute and chronic DVT in the lower extremities, specifying laterality and vein involvement.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I82.4Z1 | Acute embolism and thrombosis of unspecified deep veins of right distal lower extremity | Use when acute DVT is confirmed in the right distal lower extremity with unspecified deep veins. |
|
| I82.401 | Acute embolism and thrombosis of right femoral vein | Use when acute DVT is confirmed 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 deep vein thrombosis right leg
Essential facts and insights about Deep Vein Thrombosis Right Leg
Primary ICD-10-CM Codes for deep vein thrombosis right leg
Decision Criteria
clinical Criteria
- Acute symptoms and imaging confirmation of DVT
documentation Criteria
- Documentation must specify 'acute' and 'right distal lower extremity'
Applicable To
- Acute DVT of right distal lower extremity
Excludes
- Chronic DVT of right distal lower extremity
Clinical Validation Requirements
- Imaging confirmation such as Doppler ultrasound
- Symptoms like swelling, pain, and redness
Code-Specific Risks
- Risk of using unspecified codes when specific vein involvement is documented.
Coding Notes
- Ensure documentation specifies 'acute' and the exact location of the DVT.
I82.401 - Acute embolism and thrombosis of right femoral vein
Use when acute DVT is confirmed in the right femoral vein.
Applicable To
- Acute DVT of right femoral vein
Excludes
- Chronic DVT of right femoral vein
Clinical Validation Requirements
- Ultrasound showing non-compressible right femoral vein
- Symptoms such as leg pain and swelling
Coding Notes
Ensure documentation specifies 'acute' and the exact vein involved.
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 Deep Vein Thrombosis Right Leg to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.4Z1.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure thorough documentation of imaging findings., Educate clinicians on the importance of specificity.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies the exact vein and laterality.
Impact
Increased audit risk when unspecified codes are used despite available documentation.
Mitigation Strategy
Ensure documentation specifies the exact 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 Deep Vein Thrombosis Right Leg, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Deep Vein Thrombosis Right Leg
Use these documentation templates to ensure complete and accurate documentation for Deep Vein Thrombosis Right Leg. These templates include all required elements for proper coding and billing.
Acute DVT in Right Leg
Specialty: Vascular SurgeryRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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