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ICD-10 Coding for DVT of the Right Leg(I82.411, I82.511)

Complete ICD-10-CM coding and documentation guide for DVT of the Right Leg. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Deep Vein Thrombosis Right LegRight Leg DVT

Related ICD-10 Code Ranges

Complete code families applicable to DVT of the Right Leg

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, specifying laterality and vein location.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I82.411Acute embolism and thrombosis of right femoral veinUse when there is confirmed acute DVT in the right femoral vein.
  • Ultrasound confirmation of thrombus in right femoral vein
  • Symptoms of acute onset swelling and pain
I82.511Chronic embolism and thrombosis of right femoral veinUse when there is confirmed chronic DVT in the right femoral vein.
  • Chronic symptoms with ultrasound showing chronic changes
  • History of previous DVT episodes

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 DVT right leg

Essential facts and insights about DVT of the Right Leg

The ICD-10 code for acute DVT of the right femoral vein is I82.411, and for chronic DVT, it is I82.511.

Primary ICD-10-CM Codes for dvt right leg

Acute embolism and thrombosis of right femoral vein
Billable Code

Decision Criteria

clinical Criteria

  • Acute symptoms and ultrasound confirmation

Applicable To

  • Acute DVT of right femoral vein

Excludes

  • Chronic DVT of right femoral vein (I82.511)

Clinical Validation Requirements

  • Ultrasound confirmation of thrombus in right femoral vein
  • Symptoms of acute onset swelling and pain

Code-Specific Risks

  • Misclassification if chronicity is not specified

Coding Notes

  • Ensure documentation specifies acute nature and exact vein location.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Long-term (current) use of anticoagulants

Z79.01
Use when the patient is on long-term anticoagulation therapy.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Phlebitis and thrombophlebitis of right femoral vein

I80.211
Presence of inflammation and pain along the vein with or without thrombus.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting DVT of the Right Leg to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.411.

Impact

Clinical: Mismanagement of patient treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.

Mitigation Strategy

Always document whether DVT is acute or chronic., Review patient history for previous DVT episodes.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding standards., Data Quality: Decreases accuracy of patient records.

Mitigation Strategy

Always specify the vein and laterality in documentation.

Impact

Risk of audits due to unspecified or incorrect DVT coding.

Mitigation Strategy

Ensure detailed documentation specifying vein, laterality, and chronicity.

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 DVT of the Right Leg, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for DVT of the Right Leg

Use these documentation templates to ensure complete and accurate documentation for DVT of the Right Leg. These templates include all required elements for proper coding and billing.

Acute DVT in Emergency Department

Specialty: Emergency Medicine

Required Elements

  • Patient symptoms
  • Ultrasound findings
  • Treatment plan

Example Documentation

Patient presents with acute right leg swelling and pain. Ultrasound confirms acute DVT in the right femoral vein. Initiated anticoagulation therapy.

Examples: Poor vs. Good Documentation

Poor Documentation Example
DVT right leg
Good Documentation Example
Acute DVT in right femoral vein confirmed by ultrasound.
Explanation
The good example specifies the acuity and location, allowing for accurate coding.

Need help with ICD-10 coding for DVT of the Right Leg? Ask your questions below.

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