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ICD-10 Coding for Deep Vein Thrombosis of the Left Lower Extremity(I82.402, I82.502)

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

Also known as:

DVT Left LegLeft Leg Deep Vein Thrombosis

Related ICD-10 Code Ranges

Complete code families applicable to Deep Vein Thrombosis of the Left Lower Extremity

I82.40-I82.49Primary Range

Acute embolism and thrombosis of unspecified deep veins of lower extremity

This range includes codes for acute DVT in unspecified deep veins of the lower extremity, with laterality specified.

Chronic embolism and thrombosis of unspecified deep veins of lower extremity

This range includes codes for chronic DVT in unspecified deep veins of the lower extremity, with laterality specified.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I82.402Acute embolism and thrombosis of unspecified deep veins of left lower extremityUse when acute DVT is diagnosed in the left lower extremity without specific vein identification.
  • Venous duplex ultrasound confirming DVT
  • Presence of symptoms such as swelling, pain, or tenderness
I82.502Chronic embolism and thrombosis of unspecified deep veins of left lower extremityUse when chronic DVT is diagnosed in the left lower extremity without specific vein identification.
  • Chronic symptoms and ongoing treatment documentation

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 left lower extremity

Essential facts and insights about Deep Vein Thrombosis of the Left Lower Extremity

The ICD-10 code for acute DVT in the left lower extremity is I82.402.

Primary ICD-10-CM Codes for dvt left lower extremity

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

Decision Criteria

documentation Criteria

  • Documentation must specify 'acute' and 'left lower extremity'.

Applicable To

  • Acute DVT of left leg without specific vein identification

Excludes

Clinical Validation Requirements

  • Venous duplex ultrasound confirming DVT
  • Presence of symptoms such as swelling, pain, or tenderness

Code-Specific Risks

  • Risk of under-documentation if vein specificity is not provided.

Coding Notes

  • Ensure documentation specifies 'acute' and 'left' for accurate coding.

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.

Acute embolism and thrombosis of left tibial vein

I82.442
Use when the specific vein (tibial) is identified in the documentation.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Deep Vein 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 I82.402.

Impact

Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding guidelines., Financial: Potential for claim denials.

Mitigation Strategy

Always document the affected side.

Impact

Reimbursement: Incorrect coding may lead to denied claims or incorrect reimbursement., Compliance: Non-compliance with coding standards., Data Quality: Impacts the accuracy of patient records and data analytics.

Mitigation Strategy

Ensure documentation specifies acuity as 'acute' or 'chronic'.

Impact

High risk of audit if vein specificity is not documented.

Mitigation Strategy

Educate providers on the importance of detailed documentation.

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 of the Left Lower Extremity, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Deep Vein Thrombosis of the Left Lower Extremity

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

Acute DVT in Emergency Department

Specialty: Emergency Medicine

Required Elements

  • Patient symptoms
  • Imaging results
  • Treatment plan

Example Documentation

Patient presents with acute left leg pain and swelling. Venous duplex confirms DVT in left popliteal vein. Initiated anticoagulation therapy.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Left leg DVT, start treatment.
Good Documentation Example
Acute DVT of left popliteal vein confirmed by ultrasound. Initiating rivaroxaban 15 mg BID.
Explanation
The good example provides specific vein location and treatment details.

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