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
Other postprocedural states
Presence of IVC filter is a post-procedural state.
Other complications of pregnancy
IVC filter may be placed during pregnancy for specific complications.
Other specified venous embolism/thrombosis
IVC filters prevent pulmonary embolism from venous thrombosis.
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?
When to use each related code
Description |
---|
IVC filter in place |
Removed IVC filter |
Complicated IVC filter |
Coding lacks specificity (e.g., permanent, retrievable) impacting data accuracy and reimbursement. CDI crucial for clarification.
Absent documentation of medical necessity for IVC filter placement poses audit risk. CDI should query for indication.
If filter fragments embolize, accurate coding with appropriate diagnosis and procedure codes is essential to avoid underpayment.
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.