ICD-10 Coding for History of Thrombosis(Z86.718)
Complete ICD-10-CM coding and documentation guide for History of Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Thrombosis
Z86.71-Z86.79Primary Range
Personal history of diseases of the circulatory system
This range includes codes for personal history of circulatory system diseases, including thrombosis.
Chronic venous embolism and thrombosis
This range covers chronic conditions related to venous embolism and thrombosis, used when the condition is ongoing.
Key Information: ICD-10 code for history of thrombosis
Essential facts and insights about History of Thrombosis
Primary ICD-10-CM Code for history of thrombosis
Decision Criteria
clinical Criteria
- Thrombosis is resolved with no active symptoms.
documentation Criteria
- Patient history clearly states resolved thrombosis.
Applicable To
- Resolved venous thrombosis
- Resolved embolism
Excludes
- Current thrombosis
- Chronic thrombosis
Clinical Validation Requirements
- Documentation of resolved thrombosis
- No active treatment for thrombosis
- Prophylactic anticoagulation if applicable
Code-Specific Risks
- Misclassification as chronic thrombosis
- Incorrect linkage with anticoagulation therapy
Coding Notes
- Ensure documentation specifies the thrombosis is resolved and not currently active.
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.
Chronic venous embolism and thrombosis
I82.5-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.718.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Could trigger audits for incorrect coding., Financial: Potential for denied claims due to incorrect coding.
Mitigation Strategy
Ensure thorough review of patient history, Verify imaging and treatment records
Impact
Reimbursement: Incorrect coding may lead to improper reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of patient health records.
Mitigation Strategy
Ensure documentation specifies thrombosis is resolved and not active.
Impact
Coding resolved thrombosis as active or chronic.
Mitigation Strategy
Regular training on documentation and coding guidelines.
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 History of Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Thrombosis
Use these documentation templates to ensure complete and accurate documentation for History of Thrombosis. These templates include all required elements for proper coding and billing.
Resolved DVT with prophylactic anticoagulation
Specialty: Internal MedicineRequired Elements
- History of thrombosis
- Resolution status
- Current anticoagulation therapy
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for History of Thrombosis? Ask your questions below.