ICD-10 Coding for Chronic Deep Vein Thrombosis(I82.51-, I82.52-)
Complete ICD-10-CM coding and documentation guide for Chronic Deep Vein Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Deep Vein Thrombosis
I82.5-I82.6Primary Range
Chronic venous embolism and thrombosis
This range includes codes for chronic DVT, specifying the location and laterality of the thrombosis.
Long term (current) use of anticoagulants
Used as an ancillary code to indicate ongoing anticoagulation therapy for chronic DVT.
Personal history of other venous thrombosis and embolism
Used for historical DVT cases where the thrombosis is resolved but the patient remains on prophylactic anticoagulation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I82.51- | Chronic embolism and thrombosis of unspecified deep veins of lower extremity | Use when chronic DVT is documented with unspecified vein involvement in the lower extremity. |
|
| I82.52- | Chronic embolism and thrombosis of iliac vein | Use when chronic DVT is documented with involvement of the iliac 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 chronic deep vein thrombosis
Essential facts and insights about Chronic Deep Vein Thrombosis
Primary ICD-10-CM Codes for chronic deep vein thrombosis
Decision Criteria
clinical Criteria
- Documented chronic symptoms and ultrasound findings
documentation Criteria
- Explicit mention of 'chronic' in the medical record
Applicable To
- Chronic DVT of lower extremity
Excludes
- Acute DVT (I82.4-)
Clinical Validation Requirements
- Ultrasound showing organized thrombus
- Chronic symptoms such as edema or ulceration
Code-Specific Risks
- Misclassification as acute DVT if chronicity is not documented
Coding Notes
- Ensure documentation specifies chronicity and vein involvement.
I82.52- - Chronic embolism and thrombosis of iliac vein
Use when chronic DVT is documented with involvement of the iliac vein.
Applicable To
- Chronic DVT of iliac vein
Excludes
- Acute DVT (I82.4-)
Clinical Validation Requirements
- Imaging showing chronic thrombus in iliac vein
- Symptoms consistent with chronic venous insufficiency
Coding Notes
Ensure documentation specifies vein involvement and chronicity.
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.
Acute embolism and thrombosis of deep veins of lower extremity
I82.4-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Deep Vein Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.51-.
Impact
Clinical: Mismanagement of treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Always document specific vein and laterality, Educate providers on documentation standards
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Ensure provider documents 'chronic' explicitly.
Impact
Risk of coding chronic DVT as acute due to lack of specific documentation.
Mitigation Strategy
Implement regular training sessions on documentation requirements.
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 Chronic Deep Vein Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Deep Vein Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Chronic Deep Vein Thrombosis. These templates include all required elements for proper coding and billing.
Chronic DVT Progress Note
Specialty: Vascular MedicineRequired Elements
- Patient symptoms
- Imaging results
- Anticoagulation therapy
- Specific vein and laterality
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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