ICD-10 Coding for Blood Clot Disorder(D68.59, I82.432)
Complete ICD-10-CM coding and documentation guide for Blood Clot Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Blood Clot Disorder
D68.5-D68.69Primary Range
Other Coagulation Defects
This range includes codes for various thrombophilic conditions, including hereditary and acquired forms.
Embolism and Thrombosis of Veins
This range covers specific types of deep vein thrombosis (DVT) and their locations.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D68.59 | Other primary thrombophilia | Use when a hereditary thrombophilia such as Factor V Leiden is confirmed. |
|
| I82.432 | Acute embolism and thrombosis of left popliteal vein | Use for acute DVT confirmed by imaging in the specified vein. |
|
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 blood clot disorder
Essential facts and insights about Blood Clot Disorder
Primary ICD-10-CM Codes for blood clot disorder
Decision Criteria
clinical Criteria
- Genetic confirmation of Factor V Leiden mutation
Applicable To
- Factor V Leiden
Excludes
- Antiphospholipid syndrome (D68.61)
Clinical Validation Requirements
- Genetic testing confirming Factor V Leiden mutation
Code-Specific Risks
- Misclassification if genetic testing is not documented
Coding Notes
- Ensure genetic confirmation is documented for hereditary thrombophilia.
I82.432 - Acute embolism and thrombosis of left popliteal vein
Use for acute DVT confirmed by imaging in the specified vein.
Excludes
- Chronic embolism and thrombosis of veins (I82.5-)
Clinical Validation Requirements
- Doppler ultrasound confirming acute thrombosis
Coding Notes
Ensure documentation specifies laterality 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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Blood Clot Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D68.59.
Impact
Clinical: Inaccurate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Claim denials or reduced reimbursement
Mitigation Strategy
Ensure imaging confirms DVT, Document specific vein and laterality
Impact
Reimbursement: Potential denial of claims due to lack of documentation, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure a physician's diagnosis is documented before coding.
Impact
Lack of documentation for ongoing anticoagulant therapy can lead to audit issues.
Mitigation Strategy
Ensure all anticoagulant therapies are documented with dosage and duration.
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 Blood Clot Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Blood Clot Disorder
Use these documentation templates to ensure complete and accurate documentation for Blood Clot Disorder. These templates include all required elements for proper coding and billing.
Thrombophilia with acute DVT
Specialty: HematologyRequired Elements
- Patient history of thrombophilia
- Imaging results
- Anticoagulant therapy details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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