ICD-10 Coding for History of Deep Venous Thrombosis(Z86.718)
Complete ICD-10-CM coding and documentation guide for History of Deep Venous 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 Venous 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 venous thrombosis.
Other venous embolism and thrombosis
This range includes codes for active and chronic venous thrombosis, which may be relevant for differential diagnosis.
Key Information: ICD-10 code for history of DVT
Essential facts and insights about History of Deep Venous Thrombosis
Primary ICD-10-CM Code for history of deep venous thrombosis
Decision Criteria
documentation Criteria
- Document the date of resolution and any ongoing prophylactic treatment.
Applicable To
- History of deep venous thrombosis
- History of pulmonary embolism
Clinical Validation Requirements
- Documentation of resolved venous thrombosis
- No current symptoms or active treatment for DVT
Code-Specific Risks
- Incorrectly coding as active DVT when the condition is historical
- Lack of documentation for resolution of the thrombosis
Coding Notes
- Ensure documentation clearly states the history and resolution of the DVT.
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.
Acute venous embolism and thrombosis
I82.4-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Deep Venous 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: May lead to inappropriate treatment decisions., Regulatory: Could result in audit findings., Financial: Affects reimbursement accuracy.
Mitigation Strategy
Always include resolution date in patient records., Review documentation for completeness before coding.
Impact
Reimbursement: Incorrect coding may lead to inappropriate DRG assignment., Compliance: May result in audit discrepancies., Data Quality: Affects the accuracy of patient records.
Mitigation Strategy
Verify and document the resolution of the DVT before coding.
Impact
Lack of documentation for DVT resolution can lead to audit discrepancies.
Mitigation Strategy
Ensure all patient records include resolution confirmation.
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 Venous Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Deep Venous Thrombosis
Use these documentation templates to ensure complete and accurate documentation for History of Deep Venous Thrombosis. These templates include all required elements for proper coding and billing.
Primary Care Follow-up for History of DVT
Specialty: Internal MedicineRequired Elements
- Patient history
- Current medication
- Resolution date
- Current symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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