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ICD-10 Coding for Deep Vein Thrombosis Prevention(I82.4-, Z86.718)

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

Also known as:

DVT PreventionVenous Thromboembolism Prevention

Related ICD-10 Code Ranges

Complete code families applicable to Deep Vein Thrombosis Prevention

I82.4-I82.5Primary Range

Embolism and thrombosis of veins of lower extremities

These codes cover acute and chronic DVT of the lower extremities, which are primary concerns in DVT prevention.

Long-term (current) drug therapy and personal history of venous thrombosis and embolism

These codes are used to document long-term anticoagulant use and history of DVT, important for prevention strategies.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I82.4-Acute embolism and thrombosis of veins of lower extremitiesUse when acute DVT is confirmed by imaging and clinical symptoms.
  • Positive Doppler ultrasound
  • Symptoms such as unilateral leg swelling, pain, erythema
Z86.718Personal history of other venous thrombosis and embolismUse when documenting a resolved DVT with no current treatment.
  • Clear documentation of resolved DVT with no current symptoms

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 DVT prevention

Essential facts and insights about Deep Vein Thrombosis Prevention

ICD-10 codes for DVT prevention include Z79.01 for long-term anticoagulant use and Z86.718 for personal history of DVT.

Primary ICD-10-CM Codes for deep vein thrombosis prevention

Acute embolism and thrombosis of veins of lower extremities
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of acute symptoms and positive imaging

Applicable To

  • Acute DVT of lower extremities

Excludes

Clinical Validation Requirements

  • Positive Doppler ultrasound
  • Symptoms such as unilateral leg swelling, pain, erythema

Code-Specific Risks

  • Incorrectly coding chronic DVT as acute

Coding Notes

  • Ensure documentation specifies acute vs. chronic status.

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 when documenting long-term anticoagulant therapy.

Differential Codes

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

Chronic embolism and thrombosis of veins of lower extremities

I82.5-
Use for chronic DVT with symptoms persisting over 30 days.

Acute embolism and thrombosis of veins of lower extremities

I82.4-
Use I82.4- for active DVT cases.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Deep Vein Thrombosis Prevention to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.4-.

Impact

Clinical: Impacts treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Always document laterality in clinical notes.

Impact

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

Mitigation Strategy

Use Z79.01 for prophylactic anticoagulation, not I82.4- unless acute DVT is present.

Impact

Risk of coding prophylactic use as treatment.

Mitigation Strategy

Regular training on 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 Deep Vein Thrombosis Prevention, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Deep Vein Thrombosis Prevention

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

Post-Surgical DVT Prophylaxis

Specialty: Orthopedics

Required Elements

  • Patient history
  • Risk assessment
  • Prophylactic measures

Example Documentation

Patient post-hip replacement with BMI 42. Initiated enoxaparin prophylaxis due to immobility.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient on blood thinners.
Good Documentation Example
Patient on enoxaparin 40mg daily for DVT prophylaxis post-surgery.
Explanation
Specifies medication and purpose, improving clarity.

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

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