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ICD-10 Coding for DVT Left Upper Extremity(I82.622, I82.722)

Complete ICD-10-CM coding and documentation guide for DVT Left Upper Extremity. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Deep Vein Thrombosis of Left ArmLeft Upper Extremity Thrombosis

Related ICD-10 Code Ranges

Complete code families applicable to DVT Left Upper Extremity

I82.60-I82.69Primary Range

Embolism and thrombosis of veins of upper extremities

This range includes codes for embolism and thrombosis of veins in the upper extremities, specifying laterality and acuity.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I82.622Acute embolism and thrombosis of deep veins of left upper extremityUse for acute DVT confirmed by imaging in the deep veins of the left upper extremity.
  • Unilateral swelling >2 cm
  • D-dimer >500 ng/mL
  • Non-compressible vein on ultrasound
I82.722Chronic embolism and thrombosis of deep veins of left upper extremityUse for chronic DVT with documented persistent symptoms and imaging findings.
  • Persistent symptoms >30 days
  • Thrombus organization on imaging
  • Ongoing anticoagulation

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 upper extremity

Essential facts and insights about DVT Left Upper Extremity

The ICD-10 code for acute DVT in the left upper extremity is I82.622, while chronic cases use I82.722.

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

Acute embolism and thrombosis of deep veins of left upper extremity
Billable Code

Decision Criteria

clinical Criteria

  • Presence of acute symptoms and imaging confirmation

documentation Criteria

  • Detailed documentation of vein involvement and laterality

Applicable To

  • Acute DVT of left axillary vein
  • Acute DVT of left brachial vein

Excludes

  • Superficial thrombophlebitis of left upper extremity (I82.612)

Clinical Validation Requirements

  • Unilateral swelling >2 cm
  • D-dimer >500 ng/mL
  • Non-compressible vein on ultrasound

Code-Specific Risks

  • Confusion with superficial thrombophlebitis
  • Omission of laterality

Coding Notes

  • Ensure documentation specifies vein, laterality, and acuity.

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 superficial veins of left upper extremity

I82.612
Use when thrombosis is confirmed in superficial veins like the cephalic vein.

Acute embolism and thrombosis of deep veins of left upper extremity

I82.622
Use when the condition is acute and confirmed by recent imaging.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting DVT Left Upper Extremity to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.622.

Impact

Clinical: Potential for incorrect treatment, Regulatory: Non-compliance with coding guidelines, Financial: Reduced reimbursement

Mitigation Strategy

Always document laterality, Use templates that prompt for laterality

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding standards., Data Quality: Decreases accuracy of patient records.

Mitigation Strategy

Always specify laterality and acuity in documentation.

Impact

Failure to document laterality can lead to audit issues.

Mitigation Strategy

Implement mandatory fields in EHR for 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 Upper Extremity, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for DVT Left Upper Extremity

Use these documentation templates to ensure complete and accurate documentation for DVT Left Upper Extremity. These templates include all required elements for proper coding and billing.

Acute DVT in left upper extremity

Specialty: Vascular Surgery

Required Elements

  • Acuity
  • Vein specificity
  • Laterality
  • Diagnostic method

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has arm swelling. DVT suspected. Start anticoagulants.
Good Documentation Example
Acute left upper extremity DVT: 4 cm swelling in left forearm, pain 7/10. Doppler shows non-compressible left basilic vein with absent flow. No prior history. Started enoxaparin 1 mg/kg BID. Plan: Repeat ultrasound in 1 week.
Explanation
The good example provides specific details about the vein involved, laterality, diagnostic method, and treatment plan.

Need help with ICD-10 coding for DVT Left Upper Extremity? Ask your questions below.

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