ICD-10 Coding for Thrombophlebitis(I80.0, I80.1, I82.4-)
Complete ICD-10-CM coding and documentation guide for Thrombophlebitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thrombophlebitis
I80-I82Primary Range
Phlebitis and thrombophlebitis
This range includes codes for both superficial and deep vein thrombophlebitis, covering various veins and chronicity.
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 when documentation specifies superficial vein involvement without deep system involvement. |
|
| I80.1 | Phlebitis and thrombophlebitis of femoral vein | Use when documentation specifies femoral vein involvement, even if labeled 'superficial femoral'. |
|
| I82.4- | Acute embolism and thrombosis of deep veins of lower extremity | Use for acute DVT with documentation of specific vein and acute onset. |
|
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 thrombophlebitis
Essential facts and insights about Thrombophlebitis
Primary ICD-10-CM Codes for thrombophlebitis
Decision Criteria
clinical Criteria
- Presence of erythema and palpable cord in superficial veins.
Clinical Validation Requirements
- Tender, erythematous cord along saphenous vein, no edema
Code-Specific Risks
- Misclassification of deep veins as superficial.
Coding Notes
- Ensure documentation specifies 'superficial' to avoid misclassification.
I80.1 - Phlebitis and thrombophlebitis of femoral vein
Use when documentation specifies femoral vein involvement, even if labeled 'superficial femoral'.
Applicable To
- Deep vein thrombosis of femoral vein
Excludes
- Superficial thrombophlebitis (I80.0)
Clinical Validation Requirements
- Ultrasound confirming femoral vein involvement
Coding Notes
Ensure documentation specifies 'femoral' to avoid misclassification.
I82.4- - Acute embolism and thrombosis of deep veins of lower extremity
Use for acute DVT with documentation of specific vein and acute onset.
Applicable To
- Acute DVT of specific veins
Excludes
- Chronic DVT (I82.5-)
Clinical Validation Requirements
- Positive duplex ultrasound + symptom onset <30 days
Coding Notes
Ensure documentation specifies acute onset and vein location.
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.
Phlebitis and thrombophlebitis of femoral vein
I80.1Phlebitis and thrombophlebitis of superficial vessels
I80.0Chronic embolism and thrombosis of deep veins of lower extremity
I82.5-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Thrombophlebitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I80.0.
Impact
Clinical: Leads to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of specificity.
Mitigation Strategy
Use templates that prompt for vein details., Educate providers on documentation standards.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code as I80.1 for femoral vein involvement.
Impact
Misclassification of vein type can lead to audit issues.
Mitigation Strategy
Educate staff on vein anatomy and coding guidelines.
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 Thrombophlebitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thrombophlebitis
Use these documentation templates to ensure complete and accurate documentation for Thrombophlebitis. These templates include all required elements for proper coding and billing.
Acute DVT in Emergency Department
Specialty: Emergency MedicineRequired Elements
- Patient history
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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