ICD-10 Coding for Superficial Thrombophlebitis(I80.0, I80.9)
Complete ICD-10-CM coding and documentation guide for Superficial Thrombophlebitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Superficial Thrombophlebitis
I80-I89Primary Range
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
This range includes codes for various venous conditions, including thrombophlebitis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I80.0 | Phlebitis and thrombophlebitis of superficial vessels of lower extremities | Use when thrombophlebitis is confirmed in superficial veins of the lower extremities. |
|
| I80.9 | Phlebitis and thrombophlebitis of unspecified site | Use when documentation does not specify the site of thrombophlebitis. |
|
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 superficial thrombophlebitis
Essential facts and insights about Superficial Thrombophlebitis
Primary ICD-10-CM Codes for superficial thrombophlebitis
Decision Criteria
clinical Criteria
- Confirmation of superficial vein involvement via imaging
documentation Criteria
- Specificity in vein and laterality documentation
Applicable To
- Superficial thrombophlebitis of great saphenous vein
- Superficial thrombophlebitis of small saphenous vein
Excludes
- Deep vein thrombosis (I80.1)
Clinical Validation Requirements
- Ultrasound showing non-compressible superficial vein
- Absence of deep vein involvement
Code-Specific Risks
- Confusion with deep vein thrombosis coding
Coding Notes
- Ensure documentation specifies the vein involved and confirms superficial nature.
I80.9 - Phlebitis and thrombophlebitis of unspecified site
Use when documentation does not specify the site of thrombophlebitis.
Excludes
- Specific site phlebitis (I80.0, I80.1)
Clinical Validation Requirements
- Lack of specific vein documentation
Coding Notes
Query provider for specific site if possible.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Bacterial agents as the cause of diseases classified elsewhere
B95.-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Phlebitis and thrombophlebitis of femoral vein
I80.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Superficial Thrombophlebitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I80.0.
Impact
Clinical: Potential mismanagement of condition, Regulatory: Non-compliance with coding standards, Financial: Reduced reimbursement
Mitigation Strategy
Educate providers on documentation specificity, Implement documentation templates
Impact
Reimbursement: Incorrect coding may lead to reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code as I80.1 since the superficial femoral vein is a deep vein.
Impact
Lack of specific vein documentation can lead to audit issues.
Mitigation Strategy
Implement thorough documentation 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 Superficial Thrombophlebitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Superficial Thrombophlebitis
Use these documentation templates to ensure complete and accurate documentation for Superficial Thrombophlebitis. These templates include all required elements for proper coding and billing.
Acute Superficial Thrombophlebitis
Specialty: Vascular SurgeryRequired Elements
- Vein involved
- Laterality
- Clot length
- Presence of infection
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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