Find information on long-term anticoagulant therapy including ICD-10 codes, SNOMED CT codes, clinical documentation improvement tips, and healthcare guidelines. Learn about appropriate medical coding for long-term anticoagulation, patient management strategies, and the importance of accurate documentation in medical records. Explore resources for healthcare professionals related to warfarin, DOACs, and other anticoagulants used for long-term therapy. This resource helps ensure proper coding and billing for conditions requiring extended anticoagulation treatment.
Also known as
Long-term (current) use of anticoagulants
Indicates ongoing use of anticoagulant medication.
Personal history of venous thromboembolism
Patient has a history of blood clots, often requiring anticoagulants.
Pulmonary embolism without acute cor pulmonale
Condition often treated with long-term anticoagulation.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is anticoagulant therapy for a current active condition?
Yes
Specify the condition.
No
Is it prophylactic?
When to use each related code
| Description |
|---|
| Long-term anticoagulation |
| Venous thromboembolism (VTE) |
| Atrial fibrillation (AF) |
Coding lacks specific details about anticoagulant type, dosage, or frequency, increasing denial risk and hindering quality reporting.
Documentation missing explicit link between long-term anticoagulant therapy and underlying medical condition, impacting accurate coding and reimbursement.
Insufficient documentation to support medical necessity of long-term therapy, creating audit risk and potential denial for continued treatment.
Patient presents for ongoing management of long-term anticoagulation therapy. The indication for anticoagulation is [Specify indication e.g., atrial fibrillation, venous thromboembolism, mechanical heart valve]. Patient's current medication is [Specify anticoagulant e.g., warfarin, apixaban, rivaroxaban, dabigatran, edoxaban] at a dosage of [Specify dosage]. The patient reports [Report adherence to medication and any bleeding or thrombotic events]. Review of systems is pertinent for [Document relevant positives and negatives e.g., easy bruising, bleeding gums, epistaxis, hematuria, abdominal pain, chest pain, shortness of breath]. Physical examination reveals [Document relevant findings e.g., presence or absence of ecchymosis, petechiae, edema]. Coagulation studies including [Specify tests e.g., INR for warfarin, no routine monitoring typically required for DOACs] were reviewed and are [Report results and interpretation e.g., therapeutic, subtherapeutic, supratherapeutic]. Assessment: Long-term anticoagulation therapy management for [Specify indication]. Plan: Continue current anticoagulation regimen of [Specify anticoagulant and dosage]. Patient education provided regarding the importance of medication adherence, signs and symptoms of bleeding and thromboembolism, and necessary precautions. Dietary considerations [Specify if applicable e.g., vitamin K consistency for warfarin] were discussed. Follow-up appointment scheduled in [Specify timeframe] for ongoing monitoring and assessment of anticoagulation therapy efficacy and safety. Patient understands and agrees with the plan. ICD-10 code [Specify appropriate code e.g., Z79.01 for long term use of anticoagulants].