ICD-10 Coding for Recurrent Deep Vein Thrombosis(I82.4-, I82.5-, Z86.718)
Complete ICD-10-CM coding and documentation guide for Recurrent Deep Vein Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Recurrent Deep Vein Thrombosis
I82.4-I82.5Primary Range
Acute and Chronic Embolism and Thrombosis of Veins
This range includes codes for acute and chronic recurrent DVT, which are essential for accurate diagnosis and treatment documentation.
Personal history of venous thrombosis and embolism
This range is used for documenting a history of resolved DVT, particularly when the patient is on prophylactic anticoagulation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I82.4- | Acute embolism and thrombosis of veins | Use when a new thrombus is confirmed and active treatment is initiated. |
|
| I82.5- | Chronic embolism and thrombosis of veins | Use when chronicity is documented and thrombus persists beyond 3 months. |
|
| Z86.718 | Personal history of other venous thrombosis and embolism | Use for resolved DVT with ongoing prophylactic anticoagulation. |
|
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 recurrent deep vein thrombosis
Essential facts and insights about Recurrent Deep Vein Thrombosis
Primary ICD-10-CM Codes for recurrent deep vein thrombosis
Decision Criteria
clinical Criteria
- Presence of new thrombus confirmed by imaging
Applicable To
- Acute recurrent DVT
Excludes
- Chronic DVT
Clinical Validation Requirements
- Positive venous Doppler within 30 days
- Therapeutic anticoagulation order
Code-Specific Risks
- Misclassification as chronic without proper documentation
Coding Notes
- Ensure documentation specifies 'acute' and includes imaging confirmation.
I82.5- - Chronic embolism and thrombosis of veins
Use when chronicity is documented and thrombus persists beyond 3 months.
Applicable To
- Chronic recurrent DVT
Excludes
- Acute DVT
Clinical Validation Requirements
- Persistent thrombus on imaging >3 months
- Documentation of chronicity
Coding Notes
Chronicity must be explicitly documented.
Z86.718 - Personal history of other venous thrombosis and embolism
Use for resolved DVT with ongoing prophylactic anticoagulation.
Applicable To
- History of recurrent DVT
Excludes
- Current DVT
Clinical Validation Requirements
- Negative follow-up imaging
- Prophylactic anticoagulation orders
Coding Notes
Ensure 'history of' is documented with negative 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 Recurrent Deep Vein Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.4-.
Impact
Clinical: Impacts treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use templates that prompt for specific details.
Impact
Reimbursement: Incorrect DRG assignment can affect payments., Compliance: Non-compliance with coding guidelines., Data Quality: Misrepresentation of patient status.
Mitigation Strategy
Ensure documentation specifies chronicity with imaging evidence.
Impact
Risk of coding errors due to lack of chronicity documentation.
Mitigation Strategy
Require imaging confirmation for chronic codes.
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 Recurrent Deep Vein Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Recurrent Deep Vein Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Recurrent Deep Vein Thrombosis. These templates include all required elements for proper coding and billing.
Recurrent acute DVT
Specialty: Vascular SurgeryRequired Elements
- Vein involvement
- Diagnostic confirmation
- Therapeutic plan
- Clinical indicators
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Recurrent Deep Vein Thrombosis? Ask your questions below.