ICD-10 Coding for DVT Left Leg(I82.4X2, I82.5X2, Z86.718)
Complete ICD-10-CM coding and documentation guide for DVT Left Leg. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to DVT Left Leg
I82.4-I82.5Primary Range
Embolism and thrombosis of veins
This range includes codes for acute and chronic DVT in various veins, including the left leg.
Personal history of venous thrombosis and embolism
Used for documenting a history of DVT when the patient is no longer on anticoagulation therapy.
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 left lower extremity | Use when acute DVT is confirmed in the left leg by imaging. |
|
| I82.5X2 | Chronic embolism and thrombosis of left lower extremity | Use for chronic DVT cases with documented history and ongoing symptoms. |
|
| Z86.718 | Personal history of other venous thrombosis and embolism | Use when documenting a resolved DVT with no current treatment. |
|
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 DVT Left Leg
Primary ICD-10-CM Codes for dvt left leg
Decision Criteria
clinical Criteria
- Presence of acute symptoms and imaging confirmation
documentation Criteria
- Specific mention of 'acute' and 'left leg'
Applicable To
- Acute DVT of left leg
Excludes
- Chronic DVT of left leg
Clinical Validation Requirements
- Venous Doppler confirmation
- Symptoms of acute onset such as pain and swelling
Code-Specific Risks
- Misclassification if chronic symptoms are present
Coding Notes
- Ensure documentation specifies 'acute' and the specific vein involved.
I82.5X2 - Chronic embolism and thrombosis of left lower extremity
Use for chronic DVT cases with documented history and ongoing symptoms.
Applicable To
- Chronic DVT of left leg
Excludes
- Acute DVT of left leg
Clinical Validation Requirements
- Imaging showing organized thrombus
- Symptoms persisting over 90 days
Coding Notes
Ensure documentation specifies 'chronic' and the specific vein involved.
Z86.718 - Personal history of other venous thrombosis and embolism
Use when documenting a resolved DVT with no current treatment.
Applicable To
- History of DVT
Excludes
- Current DVT
Clinical Validation Requirements
- No current anticoagulation
- No active symptoms
Coding Notes
Ensure documentation clearly states 'history of' and no current treatment.
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 DVT Left Leg to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.4X2.
Impact
Clinical: May affect patient management and follow-up., Regulatory: Could lead to audit discrepancies., Financial: Potential loss of reimbursement for anticoagulant management.
Mitigation Strategy
Always document medication details, Review medication list during visits
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit issues., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies laterality and vein involved.
Impact
Using unspecified codes can trigger audits.
Mitigation Strategy
Ensure detailed documentation of 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 DVT Left Leg, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for DVT Left Leg
Use these documentation templates to ensure complete and accurate documentation for DVT Left Leg. These templates include all required elements for proper coding and billing.
Acute DVT in Emergency Department
Specialty: Emergency MedicineRequired Elements
- Onset and duration of symptoms
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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