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I82.402
ICD-10-CM
Left Lower Extremity Deep Vein Thrombosis

Find information on Left Lower Extremity Deep Vein Thrombosis (DVT) diagnosis, including clinical documentation, medical coding, and healthcare guidelines. Learn about symptoms, risk factors, and treatment for lower extremity DVT. This resource offers guidance on ICD-10 codes (I80.22), SNOMED CT concepts, and proper medical terminology for accurate left leg DVT documentation. Explore best practices for healthcare professionals regarding venous thrombosis diagnosis and management.

Also known as

Left Leg DVT
Left Calf DVT
Left Femoral DVT

Diagnosis Snapshot

Key Facts
  • Definition : Blood clot in a deep vein of the left leg.
  • Clinical Signs : Left leg pain, swelling, redness, warmth, or tenderness.
  • Common Settings : Prolonged immobility, recent surgery, trauma, or inherited clotting disorders.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC I82.402 Coding
I80.2

Phlebitis and thrombophlebitis

Covers DVT of lower extremities, including left lower extremity.

I80.1

Phlebitis and thrombophlebitis

Ileofemoral venous thrombosis, which may involve left lower extremity.

I82.401

Pulmonary embolism without acute cor pulmonale

Lower extremity DVT may cause a pulmonary embolism.

Z86.718

Personal history of other venous thrombosis

Relevant for recurrent or past DVT in left lower extremity.

Code-Specific Guidance

Decision Tree for

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

Involves the deep veins of the left lower extremity?

  • Yes

    Is it related to a superficial thrombophlebitis?

  • No

    Review documentation, incorrect diagnosis or requires further specification.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left Lower Extremity DVT
Left Iliofemoral DVT
Lower Extremity DVT, Unspecified

Documentation Best Practices

Documentation Checklist
  • Left lower extremity DVT diagnosis: Location, onset, symptoms
  • DVT laterality: Specify left leg involvement clearly
  • Signs/symptoms: Edema, pain, tenderness, warmth
  • Differential diagnosis: Rule out other conditions
  • Objective findings: Physical exam, D-dimer, ultrasound

Coding and Audit Risks

Common Risks
  • Unilateral vs. Bilateral Coding

    Incorrectly coding a unilateral left lower extremity DVT as bilateral or vice versa can lead to inaccurate reimbursement and data reporting. ICD-10-CM code specificity is crucial.

  • Unspecified DVT Location

    Lack of documentation specifying the left lower extremity location can lead to coding errors. CDI specialists should query physicians for clarification to ensure accurate coding (e.g., femoral, popliteal, tibial).

  • Superficial vs. Deep DVT

    Miscoding a superficial thrombophlebitis as a deep vein thrombosis (or vice versa) impacts severity and treatment, leading to coding and billing errors with potential compliance implications.

Mitigation Tips

Best Practices
  • Document DVT location, laterality, & onset for ICD-10 I80.22 accuracy.
  • Capture complete venous duplex ultrasound findings for LLE DVT diagnosis.
  • Specify if DVT is acute, chronic, or proximal vs. distal in records.
  • Query physician for DVT risk factors (Virchow's triad) for CDI & coding.
  • Ensure appropriate VTE prophylaxis documented per compliance guidelines.

Clinical Decision Support

Checklist
  • 1. Unilateral left leg swelling ICD-10 H89.81 Assess asymmetry
  • 2. Left leg pain/tenderness along deep veins Document location
  • 3. Pitting edema left leg Compare to right leg
  • 4. Warmth/erythema left leg Rule out cellulitis/infection
  • 5. Recent immobilization/surgery? Increased DVT risk factor

Reimbursement and Quality Metrics

Impact Summary
  • Reimbursement Impact Summary: Left Lower Extremity Deep Vein Thrombosis (DVT), ICD-10 I80.2, Medical Billing, Coding Accuracy, Hospital Reporting, Denials Management
  • Impact 1: Accurate coding of I80.2 with laterality ensures appropriate reimbursement for DVT treatment.
  • Impact 2: Proper documentation of DVT diagnosis impacts quality metrics for venous thromboembolism (VTE) prophylaxis.
  • Impact 3: Accurate reporting affects hospital VTE core measure performance and value-based purchasing.

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 I80.2 for LLE DVT
  • Document symptom onset
  • Specify location/extent
  • Query physician if unclear
  • Consider chronic/acute status

Documentation Templates

Patient presents with complaints consistent with left lower extremity deep vein thrombosis (DVT).  Symptoms include left leg pain, swelling, and tenderness to palpation along the calf.  Onset of symptoms occurred approximately [number] days ago and is progressively worsening.  Patient denies any history of trauma, recent surgery, or prolonged immobilization.  Risk factors assessed include [list risk factors e.g., family history of DVT, oral contraceptive use, smoking].  Physical examination reveals edema and erythema of the left lower leg, with increased warmth compared to the right leg.  Homan's sign is [positive/negative].  Differential diagnosis includes cellulitis, muscle strain, Baker's cyst, and superficial thrombophlebitis.  To confirm the diagnosis of left lower extremity DVT, a venous duplex ultrasound has been ordered.  Preliminary diagnosis is left leg DVT.  Treatment plan pending ultrasound results may include anticoagulation therapy with [medication name and dosage] and recommendations for compression stockings.  Patient education provided regarding DVT, including signs and symptoms of pulmonary embolism (PE), and the importance of medication compliance.  Follow-up appointment scheduled in [timeframe] to review ultrasound findings and adjust treatment plan as necessary.  ICD-10 code I80.22 will be considered, pending confirmatory imaging.
Left Lower Extremity Deep Vein Thrombosis - AI-Powered ICD-10 Documentation