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ICD-10 Coding for Splenic Vein Thrombosis(I82.80, I82.890)

Complete ICD-10-CM coding and documentation guide for Splenic Vein Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

SVTThrombosis of the Splenic Vein

Related ICD-10 Code Ranges

Complete code families applicable to Splenic Vein Thrombosis

I82.80-I82.89Primary Range

Embolism and thrombosis of other specified veins

This range includes specific codes for embolism and thrombosis of veins not classified elsewhere, including the splenic vein.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I82.80Embolism and thrombosis of splenic veinUse when documentation specifies splenic vein thrombosis, confirmed by imaging.
  • CT angiography showing thrombus in splenic vein
  • Doppler ultrasound with absent flow in splenic vein
I82.890Acute embolism and thrombosis of other specified veinsUse when the documentation refers to thrombosis of other specified veins without specifying the splenic vein.
  • General imaging showing thrombosis in specified 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 splenic vein thrombosis

Essential facts and insights about Splenic Vein Thrombosis

The ICD-10 code for splenic vein thrombosis is I82.80, used when the condition is specifically documented.

Primary ICD-10-CM Codes for splenic vein thrombosis

Embolism and thrombosis of splenic vein
Non-billable Code

Decision Criteria

clinical Criteria

  • Imaging confirms thrombus in splenic vein

documentation Criteria

  • Documentation specifies 'splenic vein thrombosis'

Applicable To

  • Acute splenic vein thrombosis
  • Chronic splenic vein thrombosis

Excludes

  • Portal vein thrombosis (I81)

Clinical Validation Requirements

  • CT angiography showing thrombus in splenic vein
  • Doppler ultrasound with absent flow in splenic vein

Code-Specific Risks

  • Incorrectly coding as unspecified vein thrombosis
  • Assuming chronicity without imaging confirmation

Coding Notes

  • Ensure imaging confirms the presence of a thrombus in the splenic vein before coding.

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 long-term anticoagulation therapy.

Personal history of other venous thrombosis and embolism

Z86.718
Use for historical cases of resolved splenic vein thrombosis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Portal vein thrombosis

I81
Use I81 when the thrombus is located in the portal vein rather than the splenic vein.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Splenic Vein Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.80.

Impact

Clinical: Leads to incorrect treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Always specify the affected vein in documentation.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use I82.80 when splenic vein thrombosis is specified.

Impact

Risk of audits due to non-specific vein documentation.

Mitigation Strategy

Ensure documentation specifies the splenic vein.

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 Splenic Vein Thrombosis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Splenic Vein Thrombosis

Use these documentation templates to ensure complete and accurate documentation for Splenic Vein Thrombosis. These templates include all required elements for proper coding and billing.

Acute splenic vein thrombosis

Specialty: Gastroenterology

Required Elements

  • Diagnosis confirmation via imaging
  • Acuity (acute or chronic)
  • Associated conditions

Example Documentation

Assessment: Acute splenic vein thrombosis confirmed by CT angiography. Plan: Initiate anticoagulation therapy.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Splenic thrombosis
Good Documentation Example
Acute splenic vein thrombosis confirmed by CT angiography, associated with pancreatitis.
Explanation
The good example provides specificity and confirms diagnosis with imaging.

Need help with ICD-10 coding for Splenic Vein Thrombosis? Ask your questions below.

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