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I82.90
ICD-10-CM
Venous Thromboembolism

Find comprehensive information on Venous Thromboembolism VTE diagnosis including clinical documentation requirements, medical coding guidelines for ICD-10 and SNOMED CT, risk factors, symptoms, and treatment options. Learn about pulmonary embolism PE and deep vein thrombosis DVT related to VTE for accurate healthcare documentation and coding best practices. This resource helps clinicians and medical coders ensure proper VTE diagnosis coding and complete clinical documentation improvement CDI for optimal patient care and reimbursement.

Also known as

VTE
Deep Vein Thrombosis
Pulmonary Embolism

Diagnosis Snapshot

Key Facts
  • Definition : Blood clot formation in a vein, often in the leg (DVT) or lung (PE).
  • Clinical Signs : Swelling, pain, redness, warmth in leg. Shortness of breath, chest pain if PE.
  • Common Settings : Hospitalized patients, post-surgery, prolonged immobility, inherited clotting disorders.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC I82.90 Coding
I80-I89

Diseases of veins, lymphatic vessels

Covers venous thromboses and embolisms, including phlebitis and thrombophlebitis.

I26

Pulmonary embolism

Specifically addresses pulmonary embolism, a common complication of VTE.

O88

Complications of pregnancy, childbirth

Includes venous complications in pregnancy and the puerperium, sometimes associated with VTE.

Code-Specific Guidance

Decision Tree for

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

Is the VTE in a deep vein?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Venous Thromboembolism
Deep Vein Thrombosis
Pulmonary Embolism

Documentation Best Practices

Documentation Checklist
  • VTE diagnosis: Location and laterality documented
  • VTE diagnosis: D-dimer result included
  • VTE diagnosis: Imaging study specifics and results
  • VTE diagnosis: Onset date and provoking factors if present
  • VTE diagnosis: Include ICD-10 code (I80.0-I82.9)

Coding and Audit Risks

Common Risks
  • Unspecified Location VTE

    Coding VTE without specifying location (e.g., proximal/distal, upper/lower extremity) leads to inaccurate DRG assignment and lost revenue.

  • Superficial Thrombophlebitis

    Miscoding superficial thrombophlebitis as DVT can lead to overcoding and potential compliance issues. Differentiate using clinical indicators.

  • Missing Acute/Chronic Status

    Failing to document acute or chronic status of DVT/PE can impact severity level, resulting in incorrect reimbursement and quality metrics.

Mitigation Tips

Best Practices
  • Document DVT risk factors: age, immobility, surgery
  • Specify clot location for accurate ICD-10 coding (I80)
  • Correlate DVT symptoms with objective findings in CDI
  • Ensure VTE prophylaxis compliance per guidelines
  • Detailed documentation supports medical necessity reviews

Clinical Decision Support

Checklist
  • 1. Assess DVT risk: Wells Score documented?
  • 2. PE symptoms present dyspnea, chest pain?
  • 3. Imaging study ordered CTA, VQ scan?
  • 4. D-dimer result if applicable and interpreted?

Reimbursement and Quality Metrics

Impact Summary
  • Venous Thromboembolism reimbursement hinges on accurate ICD-10 coding (I80.0-I82.9) and reporting for MS-DRG assignment impacting hospital payments.
  • VTE coding quality affects quality metrics like PSI-12 (PE), impacting hospital value-based purchasing programs and public reporting.
  • Appropriate VTE prophylaxis documentation impacts quality reporting, reducing HAC penalties and improving patient safety indicators.
  • Accurate VTE diagnosis and procedure coding (e.g., thrombolysis) maximizes case mix index and overall hospital revenue integrity.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code VTE type: DVT/PE
  • Specify location, laterality
  • Document chronicity: acute/chronic
  • Include diagnostic method: US/CTA
  • Query physician for unclear documentation

Documentation Templates

Patient presents with signs and symptoms suggestive of venous thromboembolism (VTE), including [specific symptom, e.g., right lower extremity pain and swelling, shortness of breath, chest pain].  Risk factors for VTE elicited include [list pertinent risk factors, e.g., recent surgery, prolonged immobility, oral contraceptive use, family history of VTE, active malignancy].  Physical examination reveals [objective findings, e.g., calf tenderness, erythema, edema, positive Homan's sign, tachypnea, tachycardia].  Differential diagnosis includes deep vein thrombosis (DVT), pulmonary embolism (PE), cellulitis, muscle strain, Baker's cyst.  Preliminary diagnosis of VTE is considered.  Ordered D-dimer, compression ultrasonography (CUS) of the [affected extremity], and or CT pulmonary angiography (CTPA) to confirm the diagnosis and assess the extent of thromboembolic disease.  Patient counseling provided regarding the risks and benefits of anticoagulation therapy.  Treatment plan includes initiation of [anticoagulant medication, e.g., rivaroxaban, apixaban, enoxaparin, warfarin] pending diagnostic testing results.  Patient education provided regarding medication administration, potential side effects, and follow-up care.  ICD-10 code I82.90 (unspecified venous thromboembolism) and relevant CPT codes for diagnostic testing and therapeutic procedures will be documented upon confirmation of diagnosis and completion of procedures.  The patient's presentation, risk factors, and clinical findings warrant further investigation and management for potential life-threatening complications of VTE, including recurrent thromboembolism and post-thrombotic syndrome.  Follow-up appointment scheduled for [date] to review diagnostic results and adjust treatment plan as needed.