ICD-10 Coding for May-Thurner Syndrome(I87.1, I87.2)
Complete ICD-10-CM coding and documentation guide for May-Thurner Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to May-Thurner Syndrome
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I87.1 | Compression of vein | Use when there is confirmed venous compression without DVT. |
|
| I87.2 | Venous insufficiency (chronic)(peripheral) | Use as a secondary code when chronic venous insufficiency is documented. |
|
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 May-Thurner Syndrome
Essential facts and insights about May-Thurner Syndrome
Primary ICD-10-CM Codes for may thurner
Decision Criteria
clinical Criteria
- Confirmed venous compression by imaging
documentation Criteria
- Detailed description of compression and any related symptoms
Applicable To
- Venous compression syndromes
Excludes
- Chronic venous insufficiency (I87.2)
Clinical Validation Requirements
- Imaging confirmation of venous compression (e.g., CT, MRI, IVUS)
- Documentation of compression by right iliac artery on left common iliac vein
Code-Specific Risks
- Misclassification if chronic venous insufficiency is present but not documented
Coding Notes
- Ensure documentation specifies the anatomical site and nature of compression.
I87.2 - Venous insufficiency (chronic)(peripheral)
Use as a secondary code when chronic venous insufficiency is documented.
Applicable To
- Chronic venous hypertension
Excludes
- Acute embolism and thrombosis (I82.-)
Clinical Validation Requirements
- Documentation of chronic venous insufficiency as a result of compression
Coding Notes
Ensure chronic venous insufficiency is clearly documented as secondary to compression.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity
I82.409Differential 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 May-Thurner Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.1.
Impact
Clinical: Inaccurate treatment plans, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always specify left or right in documentation, Use templates that prompt for laterality
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment, Compliance: Non-compliance with ICD-10 coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Use I87.1 for compression and document insufficiency separately if present.
Impact
Risk of coding errors due to lack of detailed documentation
Mitigation Strategy
Implement thorough documentation practices and regular coding audits.
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 May-Thurner Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for May-Thurner Syndrome
Use these documentation templates to ensure complete and accurate documentation for May-Thurner Syndrome. These templates include all required elements for proper coding and billing.
Vascular Surgery Evaluation for May-Thurner Syndrome
Specialty: Vascular SurgeryRequired Elements
- Patient history of leg swelling or pain
- Imaging results confirming compression
- Treatment plan including anticoagulation or intervention
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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