AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 3; Ask the Editor

Deep Vein Thrombosis following Ligation Procedure for Femoral Vein Injury

A patient was transferred to our facility following a firearm assault that resulted in a gunshot wound of the left thigh, causing a femur fracture and complete transection of the femoral vein and superficial femoral artery (SFA) with significant soft tissue and muscle damage. A bypass graft was performed for the SFA injury and vein ligation was done for the femoral vein injury. The provider documented that the femoral vein ligation procedure resulted in left lower extremity deep vein thrombosis (DVT) of the femoral vein. However, the provider clarified that the thrombosis was a natural consequence of ligation of the transected femoral vein. Therefore, in this case the DVT was induced by treatment and not a complication of treatment. What are the appropriate code assignments for this scenario? ...

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