ICD-10 Coding for Deep Venous Thrombosis of the Left Lower Extremity(I82.4X2, I82.5X2)
Complete ICD-10-CM coding and documentation guide for Deep Venous Thrombosis of the Left Lower Extremity. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Deep Venous Thrombosis of the Left Lower Extremity
I82.4-I82.5Primary Range
Embolism and thrombosis of veins of lower extremities
This range includes codes for acute and chronic DVT of the lower extremities, specifying laterality and vein.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I82.4X2 | Acute embolism and thrombosis of deep veins of left lower extremity | Use when acute DVT is confirmed in the left lower extremity with specific vein identification. |
|
| I82.5X2 | Chronic embolism and thrombosis of deep veins of left lower extremity | Use for chronic DVT with persistent symptoms or imaging findings >4 weeks. |
|
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 acute DVT left leg
Essential facts and insights about Deep Venous Thrombosis of the Left Lower Extremity
Primary ICD-10-CM Codes for deep venous thrombosis left lower extremity
Decision Criteria
clinical Criteria
- Acute symptoms and imaging confirmation
documentation Criteria
- Specific vein and acuity documented
Applicable To
- Acute DVT of left femoral vein
- Acute DVT of left popliteal vein
Excludes
- Chronic DVT (I82.5X2)
Clinical Validation Requirements
- Non-compressible vein on ultrasound
- Hypoechoic thrombus on imaging
- Elevated D-dimer >500 ng/mL
Code-Specific Risks
- Incorrectly coding as chronic without proper documentation
Coding Notes
- Ensure documentation specifies vein and acuity to avoid unspecified coding.
I82.5X2 - Chronic embolism and thrombosis of deep veins of left lower extremity
Use for chronic DVT with persistent symptoms or imaging findings >4 weeks.
Applicable To
- Chronic DVT of left femoral vein
- Chronic DVT of left popliteal vein
Excludes
- Acute DVT (I82.4X2)
Clinical Validation Requirements
- Vein wall thickening on ultrasound
- Collateral flow on imaging
- Organized thrombus with calcification
Coding Notes
Ensure chronicity is confirmed by imaging or clinical history.
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 Deep Venous Thrombosis of the Left Lower Extremity to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.4X2.
Impact
Clinical: Leads to vague clinical records., Regulatory: May not meet compliance standards., Financial: Results in lower reimbursement rates.
Mitigation Strategy
Always specify vein and acuity, Use imaging to confirm diagnosis
Impact
Reimbursement: Incorrect coding can lead to lower reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of patient records.
Mitigation Strategy
Require imaging confirmation of chronicity.
Impact
Using unspecified codes can trigger audits.
Mitigation Strategy
Ensure documentation specifies vein and acuity.
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 Venous Thrombosis of the Left Lower Extremity, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Deep Venous Thrombosis of the Left Lower Extremity
Use these documentation templates to ensure complete and accurate documentation for Deep Venous Thrombosis of the Left Lower Extremity. These templates include all required elements for proper coding and billing.
Acute DVT in Emergency Department
Specialty: Emergency MedicineRequired Elements
- Patient age and gender
- Duration of symptoms
- Imaging findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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