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Z95.82
ICD-10-CM
Presence of Inferior Vena Cava (IVC) Filter

Find information on IVC filter presence diagnosis, including clinical documentation requirements, medical coding guidelines, and healthcare best practices. Learn about confirming IVC filter placement, associated ICD-10 codes (Z98.8), and proper documentation for accurate billing and reimbursement. This resource provides guidance for physicians, coders, and healthcare professionals on documenting and coding the presence of an inferior vena cava filter.

Also known as

IVC Filter in Place
Inferior Vena Cava Filter Presence

Diagnosis Snapshot

Key Facts
  • Definition : A metallic device placed in the IVC to prevent blood clots from traveling to the lungs.
  • Clinical Signs : Often asymptomatic. Imaging (CT, X-ray) confirms placement. Complications can cause pain, swelling.
  • Common Settings : Hospital inpatient and outpatient settings. Interventional radiology suites.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z95.82 Coding
Z98.8

Other postprocedural states

Presence of IVC filter is a post-procedural state.

O87.8

Other complications of pregnancy

IVC filter may be placed during pregnancy for specific complications.

I82.89

Other specified venous embolism/thrombosis

IVC filters prevent pulmonary embolism from venous thrombosis.

Code-Specific Guidance

Decision Tree for

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

Is the IVC filter present due to current VTE treatment?

  • Yes

    Is there an associated complication?

  • No

    Is there a complication related to the IVC filter?

Code Comparison

Related Codes Comparison

When to use each related code

Description
IVC filter in place
Removed IVC filter
Complicated IVC filter

Documentation Best Practices

Documentation Checklist
  • IVC filter placement date
  • IVC filter type/model documented
  • Indication for IVC filter placement
  • Confirmation of placement (imaging)
  • Current filter status (e.g., retrieved, in situ)

Coding and Audit Risks

Common Risks
  • Unspecified Filter Type

    Coding lacks specificity (e.g., permanent, retrievable) impacting data accuracy and reimbursement. CDI crucial for clarification.

  • Placement Indication Missing

    Absent documentation of medical necessity for IVC filter placement poses audit risk. CDI should query for indication.

  • Fragment Embolization Coding

    If filter fragments embolize, accurate coding with appropriate diagnosis and procedure codes is essential to avoid underpayment.

Mitigation Tips

Best Practices
  • Document filter placement indication, type, and location.
  • Query physician for filter retrieval plan if not documented.
  • Code filter placement, type, and any complications.
  • Regularly audit IVC filter documentation for completeness.
  • Educate physicians on IVC filter documentation requirements.

Clinical Decision Support

Checklist
  • Confirm IVC filter placement date and indication in imaging report.
  • Verify IVC filter type and location documented in operative note.
  • Check for documented complications related to IVC filter.
  • Review patient history for contraindications to IVC filter placement.

Reimbursement and Quality Metrics

Impact Summary
  • IVC filter reimbursement: Coding accuracy impacts payment. Focus on ICD-10-PCS Z98.8 and proper documentation.
  • Quality metrics: IVC filter placement may affect VTE, PE, and DVT reporting. Accurate coding crucial.
  • Hospital reporting: Precise IVC filter data affects quality scores and public image. Ensure correct claims.
  • Coding compliance: Accurate IVC filter coding avoids denials, audits, and financial penalties.

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
  • Query IVC filter placement date
  • Code Z98.81 for present filter
  • Document filter type/location
  • Check for complications/symptoms
  • Review physician notes for intent

Documentation Templates

Patient presents with a confirmed diagnosis of presence of inferior vena cava (IVC) filter.  The IVC filter placement was indicated by [state reason for original placement, e.g., history of deep vein thrombosis (DVT) with pulmonary embolism (PE), contraindication to anticoagulation].  Current indication for continued IVC filter presence is [state current justification, e.g., persistent risk factors for venous thromboembolism (VTE), ongoing contraindication to anticoagulation].  The patient's medical history includes [list relevant medical history, e.g., recurrent DVT, PE, bleeding disorder, recent surgery].  Review of systems is pertinent for [list pertinent positives and negatives, e.g., lower extremity edema, shortness of breath, chest pain].  Physical examination reveals [document relevant physical findings, e.g., palpable lower extremity cords, tenderness to palpation, normal heart and lung sounds].  Imaging studies confirm the presence and patency of the IVC filter located in the [specify location, e.g., infrarenal IVC].  No evidence of filter migration, fracture, or perforation is noted.  Assessment: Presence of IVC filter, medically necessary at this time due to [reiterate justification for continued presence].  Plan:  Continued surveillance of the IVC filter with [specify follow-up imaging modality and frequency, e.g., abdominal x-ray or CT scan in [timeframe]].  Patient education provided regarding signs and symptoms of potential complications, including filter thrombosis, migration, and perforation.  Discussion regarding potential retrieval of the IVC filter will be revisited when [state conditions for reassessment, e.g., resolution of contraindication to anticoagulation, decreased risk of VTE recurrence].  ICD-10 code Z98.81 (Presence of other vascular implants and grafts) is applicable.
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