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ICD-10 Coding for Deep Vein Thrombosis History(Z86.718)

Complete ICD-10-CM coding and documentation guide for Deep Vein Thrombosis History. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

DVT HistoryHistory of Venous Thrombosis

Related ICD-10 Code Ranges

Complete code families applicable to Deep Vein Thrombosis History

Z86.71-Z86.79Primary Range

Personal history of diseases of the circulatory system

This range includes codes for documenting a patient's history of circulatory system diseases, including venous thrombosis.

Chronic venous embolism and thrombosis

This range is used for active or chronic cases of venous thrombosis, not historical cases.

Key Information: ICD-10 code for history of DVT

Essential facts and insights about Deep Vein Thrombosis History

The ICD-10 code for a history of deep vein thrombosis is Z86.718, used when the DVT is resolved and the patient is on prophylactic anticoagulation.

Primary ICD-10-CM Code for deep vein thrombosis history

Personal history of other venous thrombosis and embolism
Billable Code

Decision Criteria

clinical Criteria

  • Patient has a history of DVT with resolved status confirmed by imaging.

documentation Criteria

  • Documentation includes specific details about the resolved DVT and current prophylactic treatment.

Applicable To

  • Resolved DVT
  • History of venous thrombosis

Excludes

Clinical Validation Requirements

  • Ultrasound or venography confirming resolution
  • Documentation of prophylactic anticoagulation use

Code-Specific Risks

  • Incorrectly coding as active or chronic DVT
  • Lack of documentation specificity

Coding Notes

  • Ensure documentation specifies the history and resolution of DVT, including imaging confirmation.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Long-term (current) use of anticoagulants

Z79.01
Use alongside Z86.718 when the patient is on prophylactic anticoagulation.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Chronic venous embolism and thrombosis

I82.5-
Use for chronic DVT with persistent clot on imaging.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Deep Vein Thrombosis History to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.718.

Impact

Clinical: Inaccurate patient history records., Regulatory: Potential audit issues., Financial: Denied claims due to incorrect coding.

Mitigation Strategy

Ensure detailed documentation of DVT history and resolution., Regular training on documentation standards.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.

Mitigation Strategy

Verify imaging and documentation for resolution status and use Z86.718 for historical cases.

Impact

Risk of coding resolved DVT as active or chronic.

Mitigation Strategy

Ensure documentation includes imaging confirmation of resolution.

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 Deep Vein Thrombosis History, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Deep Vein Thrombosis History

Use these documentation templates to ensure complete and accurate documentation for Deep Vein Thrombosis History. These templates include all required elements for proper coding and billing.

Resolved DVT on Prophylaxis

Specialty: Internal Medicine

Required Elements

  • Patient history of DVT
  • Resolution confirmation
  • Current anticoagulation therapy

Example Documentation

Patient has a history of left femoral DVT resolved in 2023, confirmed by Doppler. Currently on Xarelto 10mg daily for prophylaxis.

Examples: Poor vs. Good Documentation

Poor Documentation Example
History of DVT.
Good Documentation Example
Resolved left femoral DVT diagnosed 6/2023, confirmed resolved via Doppler 12/2024, continues apixaban 2.5mg BID for prophylaxis.
Explanation
The good example provides specific details about the DVT history, resolution, and current treatment.

Need help with ICD-10 coding for Deep Vein Thrombosis History? Ask your questions below.

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