ICD-10 Coding for Superior Mesenteric Vein Thrombosis(K55.1)
Complete ICD-10-CM coding and documentation guide for Superior Mesenteric Vein Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Superior Mesenteric Vein Thrombosis
Key Information: ICD-10 code for superior mesenteric vein thrombosis
Essential facts and insights about Superior Mesenteric Vein Thrombosis
Primary ICD-10-CM Code for superior mesenteric vein thrombosis
Decision Criteria
clinical Criteria
- CT angiography confirms SMVT
documentation Criteria
- Document acute vs chronic status
Applicable To
- Superior mesenteric vein thrombosis
Excludes
- Acute vascular disorders of intestine (K55.0)
Clinical Validation Requirements
- CT angiography showing filling defect in SMV
- Bowel wall thickening >3mm
- Mesenteric fat stranding
Code-Specific Risks
- Incorrectly using I82 codes when SMVT is specified
- Not documenting chronicity
Coding Notes
- Ensure imaging confirms SMVT and document chronicity.
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 Superior Mesenteric Vein Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K55.1.
Impact
Clinical: Affects treatment decisions, Regulatory: Non-compliance with documentation standards, Financial: Potential for incorrect billing
Mitigation Strategy
Always specify acute or chronic in notes, Review imaging and lab results for chronicity indicators
Impact
Reimbursement: Incorrect code may lead to lower reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies SMVT and use K55.1.
Impact
Using I82 codes for SMVT without specificity
Mitigation Strategy
Ensure documentation specifies SMVT and use K55.1.
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 Superior Mesenteric Vein Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Superior Mesenteric Vein Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Superior Mesenteric Vein Thrombosis. These templates include all required elements for proper coding and billing.
Emergency Department Note
Specialty: Emergency MedicineRequired Elements
- HPI
- Imaging results
- Labs
- Assessment
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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