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Z86.718
ICD-10-CM
History of Blood Clots

Understanding a patient's history of blood clots is crucial for accurate diagnosis and treatment. This resource explores key clinical documentation and medical coding terms related to a history of deep vein thrombosis, pulmonary embolism, venous thromboembolism, and thrombophilia. Learn about the importance of documenting prior clot locations, recurrence, family history, and relevant risk factors for improved healthcare outcomes. This information is vital for physicians, nurses, medical coders, and other healthcare professionals involved in patient care and accurate medical record keeping.

Also known as

History of DVT
History of Venous Thrombosis
History of Pulmonary Embolism

Diagnosis Snapshot

Key Facts
  • Definition : Prior formation of blood clots (thrombosis) in veins or arteries, increasing risk of recurrence.
  • Clinical Signs : Swelling, pain, redness, warmth in affected area. Shortness of breath, chest pain possible.
  • Common Settings : Hospitals, clinics, primary care offices, specialized thrombosis centers.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z86.718 Coding
I82.0-I82.9

Other venous embolism and thrombosis

History of venous blood clots, excluding specific locations.

Z86.710-Z86.718

Personal history of venous embolism

Personal history of venous thromboembolism (VTE).

I26.9-I26.99

Pulmonary embolism without acute cor pulmonale

Includes past pulmonary embolisms (blood clots in lungs).

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the blood clot location documented?

  • Yes

    Specify clot location.

  • No

    Code as personal history of venous thrombosis, unspecified (Z86.718)

Code Comparison

Related Codes Comparison

When to use each related code

Description
History of blood clots (venous)
History of pulmonary embolism (PE)
History of deep vein thrombosis (DVT)

Documentation Best Practices

Documentation Checklist
  • History of VTE, DVT, PE: Date of diagnosis
  • Specific type of blood clot (DVT, PE, etc.)
  • Location of the blood clot (e.g., left leg)
  • Acute vs. chronic clot, if known
  • Medications used to treat the clot

Coding and Audit Risks

Common Risks
  • Unspecified Location

    Coding blood clots without specifying the affected vein or artery leads to inaccurate severity and treatment reflection.

  • Active vs. History

    Miscoding active blood clots as history or vice versa impacts patient safety and reimbursement due to differing acuity.

  • Underlying Condition

    Failing to code the underlying cause of the blood clot, if known, hinders accurate quality reporting and risk adjustment.

Mitigation Tips

Best Practices
  • Document clot type, location, date, and acuity for ICD-10 and risk adjustment.
  • Specify if clot is active, resolved, chronic, or recurrent for accurate coding.
  • Query physician for details on DVT, PE, arterial thrombosis for proper CDI.
  • Ensure VTE prophylaxis documented and compliant with quality measures.
  • Code underlying conditions, thrombophilia workup, and anticoagulant therapy.

Clinical Decision Support

Checklist
  • Verify patient reported history of DVT, PE, or thrombosis (ICD-10 I82, I26)
  • Confirm documented prior blood clot diagnosis and type
  • Check for family history of thromboembolic events
  • Review medication list for anticoagulants or thrombolytics

Reimbursement and Quality Metrics

Impact Summary
  • History of blood clots reimbursement impacts accurate ICD-10 coding for optimal payer contract compliance.
  • Coding quality metrics for history of blood clots affect hospital value-based purchasing and MACRA scores.
  • Accurate documentation of blood clot history improves CDI and reduces denials for related procedures.
  • Specificity in blood clot history coding (e.g., DVT, PE) impacts severity level for risk adjustment.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code specific clot type/location
  • Document chronicity/recurrence
  • Query physician for unclear history
  • Link clots to underlying conditions
  • Consider Z86.71 for family history

Documentation Templates

Patient presents with a history of venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE).  The initial DVT occurred in [Month, Year] affecting the [Location of DVT: e.g., left lower extremity].  Diagnosis was confirmed by [Diagnostic method: e.g., venous duplex ultrasound].  Subsequent [or concurrent] PE was diagnosed in [Month, Year] based on [Diagnostic method: e.g., CT angiography of the chest].  Risk factors for thrombosis include [List risk factors: e.g., prior surgery, prolonged immobilization, family history, oral contraceptives, factor V Leiden mutation, prothrombin gene mutation, antiphospholipid syndrome].  Patient was initially treated with [Initial treatment: e.g., heparin, enoxaparin] followed by [Long-term treatment: e.g., warfarin, rivaroxaban, apixaban, dabigatran, edoxaban] for [Duration of treatment: e.g., 3 months, 6 months, indefinitely].  Current INR is [INR Value, if applicable].  Patient reports [Current symptoms: e.g., no current symptoms, residual swelling, shortness of breath, chest pain].  Physical examination reveals [Physical exam findings: e.g., no edema, mild edema of the left lower extremity, normal lung sounds].  Assessment: History of VTE, [Specify type: e.g., provoked, unprovoked], currently [Status: e.g., stable, symptomatic, asymptomatic] on [Current treatment: e.g., anticoagulation therapy].  Plan: Continue current anticoagulation as prescribed.  Monitor for signs and symptoms of recurrent VTE.  Patient education provided regarding medication compliance, bleeding precautions, and follow-up appointments.  Follow-up in [Timeframe: e.g., 3 months, 6 months] for reassessment of anticoagulation needs.