ICD-10 Coding for Superficial Venous Thrombosis(I80.0, I82.61)
Complete ICD-10-CM coding and documentation guide for Superficial Venous Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Superficial Venous Thrombosis
I80-I89Primary Range
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
This range includes codes for various venous conditions, including superficial venous thrombosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I80.0 | Phlebitis and thrombophlebitis of superficial vessels of lower extremities | Use for acute SVT in the lower extremities with documented inflammation. |
|
| I82.61 | Acute embolism and thrombosis of superficial veins of upper extremity | Use for acute SVT in the upper extremities, especially related to IV sites. |
|
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 superficial venous thrombosis
Essential facts and insights about Superficial Venous Thrombosis
Primary ICD-10-CM Codes for superficial venous thrombosis
Decision Criteria
clinical Criteria
- Presence of non-compressible superficial vein on ultrasound
documentation Criteria
- Detailed documentation of vein, laterality, and thrombus proximity to junctions
Applicable To
- Acute superficial venous thrombosis
Excludes
- Deep vein thrombosis (I82.4-)
Clinical Validation Requirements
- Ultrasound confirmation of non-compressible superficial vein
- Thrombus length and proximity to saphenofemoral junction
Code-Specific Risks
- Confusing with deep vein thrombosis
- Using unspecified codes when specifics are available
Coding Notes
- Ensure documentation specifies vein, laterality, and acuity.
I82.61 - Acute embolism and thrombosis of superficial veins of upper extremity
Use for acute SVT in the upper extremities, especially related to IV sites.
Applicable To
- Acute SVT of upper extremity
Excludes
- Deep vein thrombosis of upper extremity (I82.62-)
Clinical Validation Requirements
- Ultrasound confirmation of thrombus in superficial veins of the arm
- Documentation of IV site involvement if applicable
Coding Notes
Ensure documentation includes vein, laterality, and any procedural associations.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Superficial Venous Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I80.0.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Include detailed ultrasound findings, Educate providers on documentation standards
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Use specific codes like I80.0- or I82.61- with appropriate laterality.
Impact
High risk of audit if unspecified codes are used when specific details are available.
Mitigation Strategy
Educate coding staff on the importance of specificity in documentation.
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 Superficial Venous Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Superficial Venous Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Superficial Venous Thrombosis. These templates include all required elements for proper coding and billing.
Acute SVT in lower extremity
Specialty: Vascular SurgeryRequired Elements
- Acuity
- Location
- Laterality
- Thrombus length
- Proximity to junctions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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