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ICD-10 Coding for Deep Vein Thrombosis(I82.401, I82.501)

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

Also known as:

DVTVenous ThrombosisBlood Clot in Veinthrombophlebitis

Related ICD-10 Code Ranges

Complete code families applicable to Deep Vein Thrombosis

I82.4-I82.5Primary Range

Acute and chronic venous embolism and thrombosis

This range includes codes for acute and chronic DVT, specifying location and laterality.

Personal history of venous thrombosis and embolism

Used for documenting history of DVT when the condition is resolved.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I82.401Acute embolism and thrombosis of unspecified deep veins of right lower extremityUse when acute DVT is confirmed in the right lower extremity without specific vein identification.
  • Positive ultrasound for acute DVT
  • Elevated D-dimer levels
I82.501Chronic embolism and thrombosis of unspecified deep veins of right lower extremityUse for chronic DVT in the right lower extremity when specific veins are not identified.
  • Ultrasound showing organized thrombus
  • Symptoms persisting over 3 months

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

Essential facts and insights about Deep Vein Thrombosis

The ICD-10 code for acute deep venous thrombosis of the right lower extremity is I82.401.

Primary ICD-10-CM Codes for deep venous thrombosis

Acute embolism and thrombosis of unspecified deep veins of right lower extremity
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed acute DVT via imaging and lab tests

Applicable To

  • Acute DVT of right leg

Excludes

Clinical Validation Requirements

  • Positive ultrasound for acute DVT
  • Elevated D-dimer levels

Code-Specific Risks

  • Risk of using unspecified codes when specific veins are documented.

Coding Notes

  • Ensure documentation specifies acuity, laterality, and location.

Ancillary Codes

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

Long term (current) use of anticoagulants

Z79.01
Use when the patient is on anticoagulant therapy.

Differential Codes

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

Phlebitis and thrombophlebitis of unspecified deep vessels of right lower extremity

I80.201
Use when inflammation is present with thrombosis.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Deep Vein Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.401.

Impact

Clinical: Can lead to inappropriate treatment decisions., Regulatory: May result in coding audits and compliance issues., Financial: Potential for reduced reimbursement due to lack of specificity.

Mitigation Strategy

Train staff to document specific veins and laterality., Use templates that prompt for detailed information.

Impact

Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit and non-compliance., Data Quality: Decreases the accuracy of clinical data.

Mitigation Strategy

Always document and code the specific vein involved.

Impact

High risk of audit if unspecified codes are used when specific information is available.

Mitigation Strategy

Ensure documentation includes specific vein and laterality.

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, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Deep Vein Thrombosis

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

Acute DVT in Emergency Department

Specialty: Emergency Medicine

Required Elements

  • Patient history
  • Physical examination findings
  • Imaging results
  • Treatment plan

Example Documentation

45M with sudden-onset left calf pain/swelling ×3 days. Hx of recent transatlantic flight. No prior DVT. Left calf circumference 2cm > right; Homans sign positive. D-dimer 1200 ng/mL; US confirms acute DVT in left peroneal vein. Assessment: Acute DVT left peroneal vein (I82.454). Plan: Rivaroxaban 15 mg BID ×21 days; avoid NSAIDs.

Examples: Poor vs. Good Documentation

Poor Documentation Example
DVT in leg, on anticoagulants.
Good Documentation Example
Chronic DVT of right popliteal vein diagnosed 12/2024; continues apixaban for secondary prevention.
Explanation
The good example specifies the chronicity, location, and treatment plan, improving clarity and coding accuracy.

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

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