ICD-10 Coding for History of Deep Vein Thrombosis(Z86.718)
Complete ICD-10-CM coding and documentation guide for History of Deep Vein Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Deep Vein Thrombosis
Z86.71-Z86.79Primary Range
Personal history of diseases of the circulatory system
This range includes codes for personal history of circulatory system diseases, including DVT.
Embolism and thrombosis of veins
This range includes codes for active or chronic DVT, which are not applicable for resolved cases.
Key Information: ICD-10 code for history of DVT
Essential facts and insights about History of Deep Vein Thrombosis
Primary ICD-10-CM Code for history of deep vein thrombosis
Decision Criteria
clinical Criteria
- Patient has a history of DVT with no current symptoms and negative imaging.
documentation Criteria
- Records must indicate the DVT is historical and resolved.
Applicable To
- Resolved DVT
- History of DVT with prophylactic anticoagulation
Clinical Validation Requirements
- Negative Doppler ultrasound
- Discontinued therapeutic anticoagulation
- Asymptomatic status
Code-Specific Risks
- Misclassification as chronic DVT
- Incorrect use without evidence of resolution
Coding Notes
- Ensure documentation clearly states the DVT is resolved and specify any ongoing prophylactic 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.
Chronic embolism and thrombosis of veins
I82.5-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Deep Vein Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.718.
Impact
Clinical: Leads to potential mismanagement of patient care., Regulatory: Non-compliance with coding standards., Financial: May result in incorrect billing and reimbursement.
Mitigation Strategy
Ensure all documentation includes resolution status., Regular training on documentation standards.
Impact
Reimbursement: Incorrect coding may lead to inappropriate reimbursement levels., Compliance: Misclassification can result in compliance issues during audits., Data Quality: Affects the accuracy of patient records and data reporting.
Mitigation Strategy
Use Z86.718 for resolved DVT and ensure documentation supports resolution.
Impact
Risk of coding resolved DVT as chronic, leading to audit discrepancies.
Mitigation Strategy
Regular audits of documentation and coding practices.
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 History of Deep Vein Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Deep Vein Thrombosis
Use these documentation templates to ensure complete and accurate documentation for History of Deep Vein Thrombosis. These templates include all required elements for proper coding and billing.
Resolved DVT with ongoing prophylaxis
Specialty: Internal MedicineRequired Elements
- Date of initial DVT diagnosis
- Resolution status with imaging results
- Current anticoagulation therapy
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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