ICD-10 Coding for Portal Vein Thrombosis(I81)
Complete ICD-10-CM coding and documentation guide for Portal Vein Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Portal Vein Thrombosis
I80-I89Primary Range
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
This range includes codes for various venous conditions, including portal vein thrombosis.
Key Information: ICD-10 code for portal vein thrombosis
Essential facts and insights about Portal Vein Thrombosis
Primary ICD-10-CM Code for portal vein thrombosis
Decision Criteria
clinical Criteria
- Imaging shows non-occlusive thrombus in portal vein.
documentation Criteria
- Documentation specifies acute or chronic PVT.
Applicable To
- Acute portal vein thrombosis
- Chronic portal vein thrombosis
Clinical Validation Requirements
- Imaging confirmation (Doppler ultrasound/CT/MRI)
- Symptoms like abdominal pain, ascites, splenomegaly
Code-Specific Risks
- Assuming chronic without documentation
- Confusing with hepatic vein thrombosis
Coding Notes
- Ensure documentation specifies acute vs. chronic and any underlying conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Portal Vein Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I81.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Potential audit issues., Financial: Reduced reimbursement.
Mitigation Strategy
Always document underlying conditions like cirrhosis or malignancy.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I82.0 for Budd-Chiari syndrome.
Impact
Using I81 without specifying acute or chronic.
Mitigation Strategy
Ensure documentation specifies acuity.
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 Portal Vein Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Portal Vein Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Portal Vein Thrombosis. These templates include all required elements for proper coding and billing.
Acute PVT in cirrhosis
Specialty: GastroenterologyRequired Elements
- History of liver disease
- Imaging reports
- Anticoagulation status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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