ICD-10 Coding for Dural Sinus Thrombosis(G08, I676, I636)
Complete ICD-10-CM coding and documentation guide for Dural Sinus Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dural Sinus Thrombosis
G08Primary Range
Intracranial phlebitis and thrombophlebitis
Used for septic dural sinus thrombosis with infectious etiology.
I676Primary Range
Cerebral venous thrombosis, nonpyogenic
Used for non-infectious dural sinus thrombosis.
Cerebral infarction due to dural sinus thrombosis
Used when imaging confirms ischemic stroke secondary to venous outflow obstruction.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G08 | Intracranial phlebitis and thrombophlebitis | Use when there is an infectious cause of dural sinus thrombosis. |
|
| I676 | Cerebral venous thrombosis, nonpyogenic | Use when thrombosis is due to non-infectious causes like hypercoagulable states. |
|
| I636 | Cerebral infarction due to dural sinus thrombosis | Use when imaging confirms cerebral infarction secondary to dural sinus thrombosis. |
|
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 dural sinus thrombosis
Essential facts and insights about Dural Sinus Thrombosis
Primary ICD-10-CM Codes for dural sinus thrombosis
Decision Criteria
clinical Criteria
- Presence of infection confirmed by culture or clinical signs.
Applicable To
- Septic dural sinus thrombosis
Excludes
- Nonpyogenic cerebral venous thrombosis (I676)
Clinical Validation Requirements
- Documented infection source
- Imaging confirmation of thrombosis
Code-Specific Risks
- Misclassification if infection is not documented
Coding Notes
- Ensure infection source is documented to use this code.
I676 - Cerebral venous thrombosis, nonpyogenic
Use when thrombosis is due to non-infectious causes like hypercoagulable states.
Applicable To
- Non-infectious dural sinus thrombosis
Excludes
- Septic dural sinus thrombosis (G08)
Clinical Validation Requirements
- Imaging confirmation of thrombosis
- Absence of infection
Coding Notes
Ensure non-infectious etiology is documented.
I636 - Cerebral infarction due to dural sinus thrombosis
Use when imaging confirms cerebral infarction secondary to dural sinus thrombosis.
Applicable To
- Ischemic stroke due to venous thrombosis
Excludes
- Arterial stroke (I63.9)
Clinical Validation Requirements
- Imaging showing ischemic changes due to venous obstruction
Coding Notes
Ensure infarction is documented with imaging.
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 Dural Sinus Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G08.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims.
Mitigation Strategy
Ensure infection source is documented in clinical notes.
Impact
Reimbursement: Incorrect DRG assignment can affect payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Query provider for chronicity and ensure documentation supports acute or chronic status.
Impact
Failure to document POA status can lead to audit findings.
Mitigation Strategy
Ensure POA status is reviewed and documented for all admissions.
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 Dural Sinus Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dural Sinus Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Dural Sinus Thrombosis. These templates include all required elements for proper coding and billing.
Acute Dural Sinus Thrombosis
Specialty: NeurologyRequired Elements
- Patient history
- Imaging findings
- Clinical symptoms
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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