ICD-10 Coding for Thrombosis(I82.401, D68.32)
Complete ICD-10-CM coding and documentation guide for Thrombosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thrombosis
I82.4-I82.5Primary Range
Acute and chronic venous embolism and thrombosis
This range includes codes for acute and chronic deep vein thrombosis (DVT) and pulmonary embolism (PE), which are primary manifestations of thrombosis.
Coagulation defects
This range includes codes for coagulation defects, such as hemorrhagic disorders due to anticoagulants, which are relevant for patients with thrombosis on anticoagulation therapy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I82.401 | Acute embolism and thrombosis of unspecified deep veins of right lower extremity | Use for acute DVT confirmed by imaging in the right lower extremity. |
|
| D68.32 | Hemorrhagic disorder due to extrinsic circulating anticoagulants | Use when a patient on anticoagulants presents with a bleeding complication. |
|
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 acute DVT
Essential facts and insights about Thrombosis
Primary ICD-10-CM Codes for thrombosis
Decision Criteria
clinical Criteria
- Acute presentation with imaging confirmation
Applicable To
- Acute DVT of right lower extremity
Excludes
- Chronic embolism and thrombosis of deep veins of right lower extremity (I82.501)
Clinical Validation Requirements
- Doppler ultrasound confirming non-compressible vein
- Elevated D-dimer
Code-Specific Risks
- Ensure laterality is documented to avoid unspecified codes.
Coding Notes
- Ensure documentation specifies acute vs. chronic and laterality.
D68.32 - Hemorrhagic disorder due to extrinsic circulating anticoagulants
Use when a patient on anticoagulants presents with a bleeding complication.
Applicable To
- Bleeding due to anticoagulant therapy
Excludes
- Bleeding due to intrinsic coagulation factors (D68.4)
Clinical Validation Requirements
- Documented bleeding event
- Current anticoagulant therapy
Coding Notes
Sequence as primary if the treatment focus is on controlling bleeding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Thrombosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I82.401.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increased risk of audits., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure complete documentation of laterality and acuity., Use specific codes whenever possible.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Only code hypercoagulable state if explicitly documented by the physician.
Impact
Inaccurate coding of bleeding complications can trigger audits.
Mitigation Strategy
Ensure documentation clearly links bleeding to anticoagulant use.
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 Thrombosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thrombosis
Use these documentation templates to ensure complete and accurate documentation for Thrombosis. These templates include all required elements for proper coding and billing.
Acute DVT in the emergency department
Specialty: Emergency MedicineRequired Elements
- Patient symptoms
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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