ICD-10 Coding for Bilateral Deep Venous Thrombosis(I82.4Z3, I82.4X3)
Complete ICD-10-CM coding and documentation guide for Bilateral Deep Venous Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bilateral Deep Venous Thrombosis
I82.4-I82.5Primary Range
Embolism and thrombosis of veins of lower extremities
This range includes codes for acute and chronic embolism and thrombosis of veins, including bilateral involvement.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I82.4Z3 | Acute embolism and thrombosis of unspecified deep veins of bilateral lower extremities | Use when imaging confirms bilateral DVT but specific veins are not documented. |
|
| I82.4X3 | Acute embolism and thrombosis of specified deep veins of bilateral lower extremities | Use when specific veins such as tibial or peroneal are documented. |
|
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 bilateral deep venous thrombosis
Essential facts and insights about Bilateral Deep Venous Thrombosis
Primary ICD-10-CM Codes for bilateral deep venous thrombosis
Decision Criteria
clinical Criteria
- Bilateral leg swelling and pain with positive Doppler ultrasound
Applicable To
- Acute bilateral DVT of unspecified veins
Excludes
- Chronic embolism and thrombosis of veins (I82.5-)
Clinical Validation Requirements
- Doppler ultrasound confirming bilateral DVT
- Clinical symptoms such as swelling and pain in both legs
Code-Specific Risks
- Risk of using unspecified code when specific veins are documented.
Coding Notes
- Ensure laterality and acuity are documented to avoid unspecified coding.
I82.4X3 - Acute embolism and thrombosis of specified deep veins of bilateral lower extremities
Use when specific veins such as tibial or peroneal are documented.
Applicable To
- Acute bilateral DVT of specified veins such as tibial or peroneal
Excludes
- Chronic embolism and thrombosis of veins (I82.5-)
Clinical Validation Requirements
- Doppler ultrasound confirming specific vein involvement
- Clinical symptoms such as swelling and pain in both legs
Coding Notes
Ensure specific veins are documented to use this code.
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 Bilateral Deep Venous Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.4Z3.
Impact
Clinical: Leads to incomplete clinical documentation., Regulatory: May result in audit flags for unspecified coding., Financial: Potential for reduced reimbursement due to unspecified coding.
Mitigation Strategy
Ensure imaging reports specify veins involved., Include detailed clinical notes.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies the veins involved to use the correct code.
Impact
Risk of using unspecified codes when specific details are available.
Mitigation Strategy
Ensure thorough documentation of vein involvement and laterality.
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 Bilateral Deep Venous Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bilateral Deep Venous Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Bilateral Deep Venous Thrombosis. These templates include all required elements for proper coding and billing.
Acute Bilateral DVT in Emergency Department
Specialty: Emergency MedicineRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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