ICD-10 Coding for Phlebitis(I80.2, I80.0)
Complete ICD-10-CM coding and documentation guide for Phlebitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Phlebitis
I80-I82Primary Range
Phlebitis and thrombophlebitis
This range covers all types of phlebitis and thrombophlebitis, including superficial and deep vein involvement.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I80.2 | Phlebitis and thrombophlebitis of other deep vessels of lower extremities | Use for confirmed cases of deep vein thrombophlebitis in the lower extremities. |
|
| I80.0 | Phlebitis and thrombophlebitis of superficial vessels of lower extremities | Use for cases involving only superficial veins. |
|
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 deep vein thrombophlebitis
Essential facts and insights about Phlebitis
Primary ICD-10-CM Codes for phlebitis
Decision Criteria
clinical Criteria
- Presence of deep vein involvement confirmed by imaging
Applicable To
- Deep vein thrombophlebitis
Excludes
- Superficial thrombophlebitis (I80.0)
Clinical Validation Requirements
- Non-compressible vein on ultrasound
- Positive D-dimer test
Code-Specific Risks
- Misclassification as superficial thrombophlebitis
Coding Notes
- Ensure documentation specifies the vein involved and laterality.
I80.0 - Phlebitis and thrombophlebitis of superficial vessels of lower extremities
Use for cases involving only superficial veins.
Applicable To
- Superficial thrombophlebitis
Excludes
- Deep vein thrombophlebitis (I80.2)
Clinical Validation Requirements
- Clinical examination showing superficial vein inflammation
Coding Notes
Ensure documentation clearly states superficial involvement.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Phlebitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I80.2.
Impact
Clinical: Potential for incorrect treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Denial of claims due to lack of specificity.
Mitigation Strategy
Always document the side of the body affected., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding may lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient care and research.
Mitigation Strategy
Verify imaging results to confirm vein involvement before coding.
Impact
Use of unspecified codes without medical necessity documentation.
Mitigation Strategy
Ensure all documentation includes specific vein and 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 Phlebitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Phlebitis
Use these documentation templates to ensure complete and accurate documentation for Phlebitis. These templates include all required elements for proper coding and billing.
Acute deep vein thrombophlebitis
Specialty: Vascular SurgeryRequired Elements
- Vein involved
- Laterality
- Diagnostic tests
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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