AHA Coding Clinic® for ICD-9 - 2011 Issue 1; Ask the Editor

Deep Vein Thrombosis and Thrombophlebitis

Advice published in the Third Quarter 1991 and First Quarter 1992 issues of Coding Clinic stated that if both thrombosis and thrombophlebitis are included in the physician's diagnostic statement, only a code from category 451, Phlebitis and thrombophlebitis should be reported. The advice was supported by the excludes note at category 453, Other venous embolism and thrombosis, which directed the coder to assign only a code from category 451, if both are present. However, effective October 1, 2009, that excludes note was deleted. Based on that change, if the physician documents both thrombophlebitis and deep venous thrombosis (DVT) to be present, how should these conditions be coded? ...

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