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ICD-10 Coding for Personal History of Deep Vein Thrombosis(Z86.718)

Complete ICD-10-CM coding and documentation guide for Personal History of Deep Vein Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

History of DVTResolved Deep Vein Thrombosis

Related ICD-10 Code Ranges

Complete code families applicable to Personal History of Deep Vein Thrombosis

Z86.71-Z86.79Primary Range

Personal history of diseases of the circulatory system

This range includes codes for personal history of venous thrombosis and embolism, which is relevant for documenting resolved DVT.

Key Information: ICD-10 code for personal history of DVT

Essential facts and insights about Personal History of Deep Vein Thrombosis

The ICD-10 code for personal history of deep vein thrombosis is Z86.718, used when DVT is resolved and the patient is on prophylactic anticoagulants.

Primary ICD-10-CM Code for personal history of deep vein thrombosis

Personal history of other venous thrombosis and embolism
Billable Code

Decision Criteria

clinical Criteria

  • Imaging confirms no active thrombosis

documentation Criteria

  • Anticoagulant use documented for prophylaxis

Applicable To

  • History of deep vein thrombosis
  • History of venous thrombosis

Excludes

  • Current or chronic venous thrombosis (I82.4x, I82.5x)

Clinical Validation Requirements

  • Imaging confirming resolution of DVT
  • Documentation of anticoagulant use for prophylaxis

Code-Specific Risks

  • Incorrectly coding active DVT as resolved

Coding Notes

  • Ensure imaging confirms resolution before using Z86.718.

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 patient is on anticoagulants for prophylaxis of resolved DVT.

Differential Codes

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

Acute embolism and thrombosis of deep veins

I82.4x
Use for active DVT with ongoing symptoms or treatment.

Chronic embolism and thrombosis of deep veins

I82.5x
Use for chronic DVT with persistent symptoms or treatment.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Personal History of Deep Vein 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: Potential for inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Loss of reimbursement for prophylactic treatment.

Mitigation Strategy

Always document current anticoagulant therapy., Review patient history for resolved DVT.

Impact

Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records affecting clinical decisions.

Mitigation Strategy

Use Z86.718 for resolved DVT with prophylactic anticoagulants.

Impact

Coding resolved DVT as active or chronic.

Mitigation Strategy

Ensure imaging confirms resolution before coding as history.

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 Personal History of Deep Vein Thrombosis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Personal History of Deep Vein Thrombosis

Use these documentation templates to ensure complete and accurate documentation for Personal History of Deep Vein Thrombosis. These templates include all required elements for proper coding and billing.

Resolved DVT with Prophylaxis

Specialty: Internal Medicine

Required Elements

  • Patient history
  • Imaging results
  • Anticoagulant therapy details

Example Documentation

Patient with history of left femoral DVT, resolved on 6/2024 Doppler. Now on lifelong apixaban for prevention.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has DVT history.
Good Documentation Example
History of left femoral DVT resolved 6/2024, now on prophylactic Eliquis.
Explanation
The good example specifies resolution and current prophylactic treatment.

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