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Z95.820
ICD-10-CM
Inferior Vena Cava Filter

Find comprehensive information on Inferior Vena Cava Filter diagnosis, including clinical documentation requirements, medical coding guidelines, and ICD-10 codes. Learn about IVC filter placement, complications, retrieval, and associated medical necessity criteria for accurate healthcare reporting and billing. This resource covers essential topics for physicians, coders, and healthcare professionals seeking information on Inferior Vena Cava Filter diagnosis management and documentation best practices.

Also known as

IVC Filter
Vena Cava Filter

Diagnosis Snapshot

Key Facts
  • Definition : A device placed in the inferior vena cava to trap blood clots, preventing them from reaching the lungs.
  • Clinical Signs : Often asymptomatic. May present with leg swelling, pain, or shortness of breath if a clot develops despite the filter.
  • Common Settings : Hospital inpatient or outpatient setting. Interventional radiology suite.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z95.820 Coding
O87.0

Insertion of vena cava filter

Insertion of inferior vena cava filter for thrombosis prevention.

Z95.810

Presence of vena cava filter

Patient has an inferior vena cava filter in place.

T82.898A

Other compl of vena cava device

Complications related to inferior vena cava filter.

Code-Specific Guidance

Decision Tree for

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

Is the IVC filter prophylactic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
IVC Filter
Pulmonary Embolism
Deep Vein Thrombosis

Documentation Best Practices

Documentation Checklist
  • Inferior vena cava filter placement indication (PE, DVT)
  • Filter type/brand documented
  • Placement approach (jugular, femoral)
  • Confirmation of placement (imaging)
  • Complications, if any

Coding and Audit Risks

Common Risks
  • Unspecified Filter Type

    Coding lacks specificity (temporary vs. permanent) impacting DRG and payment. CDI should query for clarification.

  • Placement Indication Missing

    Missing documentation of medical necessity for filter placement leads to audit risk and potential denials. CDI must clarify.

  • Incorrect Thrombosis Coding

    Concomitant DVT/PE coding errors can affect severity and reimbursement. CDI should review documentation for accuracy.

Mitigation Tips

Best Practices
  • Document filter placement rationale, IVC diameter, and complications.
  • Code filter insertions with appropriate ICD-10-PCS and CPT codes.
  • Query physician for filter type, indication, and retrieval plan.
  • Regularly audit IVC filter documentation for CDI and compliance.
  • Ensure follow-up imaging and retrieval attempts are documented.

Clinical Decision Support

Checklist
  • Verify IVC filter placement indication (PE, DVT)
  • Confirm contraindications documented (e.g., bleeding)
  • Check imaging confirmation of filter placement
  • Document filter type and location

Reimbursement and Quality Metrics

Impact Summary
  • Inferior Vena Cava Filter reimbursement impacts coding accuracy, affecting DRG assignment and hospital revenue cycle.
  • Accurate ICD-10-PCS and CPT coding for IVC filter placement/removal is crucial for appropriate reimbursement.
  • Quality metrics for IVC filter procedures include complication rates, filter retrieval rates, and patient outcomes.
  • Data integrity for IVC filter cases impacts hospital reporting for quality improvement and pay-for-performance programs.

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Frequently Asked Questions

Common Questions and Answers

Q: What are the most reliable imaging modalities for confirming Inferior Vena Cava (IVC) filter placement and detecting potential complications like filter tilt, migration, or penetration?

A: Confirming proper IVC filter placement and assessing for complications requires high-quality imaging. While plain radiography can provide an initial overview, contrast-enhanced Computed Tomography (CT) is generally considered the gold standard for accurately visualizing filter position, tilt, migration, and any associated caval penetration or perforation. Venography (IVC cavagram) can also offer detailed assessment, especially when CT is contraindicated. Ultrasound, while less sensitive for certain complications, can be a useful tool for bedside assessment and follow-up. Consider implementing a standardized imaging protocol based on patient-specific factors and suspected complications. Explore how multi-modal imaging strategies can enhance diagnostic accuracy in challenging cases.

Q: When should IVC filter retrieval be considered, and what are the key patient factors and procedural considerations impacting retrieval success rates?

A: IVC filter retrieval should be considered as soon as the transient indication for placement (e.g., temporary high risk of pulmonary embolism) has resolved. Patient factors impacting retrieval success include the duration of filter placement (increased dwell time correlates with lower retrieval rates), filter type, and the presence of complications like filter tilt or endothelialization. Procedural considerations include the expertise of the interventional radiologist, available retrieval techniques (e.g., snare, loop snare, forceps), and the use of adjunctive maneuvers like laser or sheath-assisted retrieval. Learn more about the latest guidelines regarding optimal retrieval timing and techniques to improve patient outcomes and minimize long-term complications.

Quick Tips

Practical Coding Tips
  • Code filter placement, not just removal
  • Query physician for filter type/indication
  • Document filter complications (if any)
  • Check payer guidelines for IVC filter coverage
  • ICD-10 Z98.8 for IVC filter status

Documentation Templates

Patient presents with [indication for IVC filter placement, e.g., acute deep vein thrombosis (DVT) with contraindication to anticoagulation, recurrent pulmonary embolism (PE) despite adequate anticoagulation, high risk for venous thromboembolism (VTE)].  Medical history includes [list relevant medical history, e.g., history of DVT, PE, hypercoagulable state, recent surgery, trauma, malignancy].  Physical examination reveals [document pertinent positive and negative findings, e.g., lower extremity edema, tenderness, palpable cord, diminished pulses, normal respiratory effort].  Imaging studies, including [specify imaging modality, e.g., venous duplex ultrasound, CT venography, pulmonary angiography], demonstrate [describe imaging findings, e.g., presence of DVT in [specify location], evidence of PE, free-floating thrombus].  Given the patient's [summarize clinical picture and rationale for IVC filter], the decision was made to proceed with inferior vena cava filter placement.  Risks and benefits of the procedure, including potential complications such as filter migration, perforation, and thrombosis, were discussed with the patient, and informed consent was obtained.  Procedure details, including filter type [e.g., retrievable, permanent], access site [e.g., femoral, jugular], and procedural complications, if any, will be documented separately in the procedural note.  Post-procedure plan includes [outline monitoring plan, e.g., follow-up imaging, anticoagulation management if appropriate, plan for filter retrieval if applicable].  Patient education provided regarding signs and symptoms of complications, including recurrent DVT or PE, and the importance of follow-up care.  Diagnosis:  Inferior vena cava filter placement.