AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 2; Ask the Editor
History of Recurrent Deep Vein Thrombosis
A 79-year-old patient presents for a follow-up visit for multiple conditions, including personal history of recurrent deep vein thrombosis (DVT) of the lower extremity. The patient was initially anticoagulated with Coumadin but was switched to Xarelto®. Some coding professionals at our facility feel that a diagnosis of history of recurrent DVT in a patient on anticoagulation therapy should be coded as a chronic DVT. However, other coding professionals believe that history of recurrent DVT without any further specification should be reported with the default code assignment of acute DVT. What is the appropriate code assignment for personal history of recurrent deep vein thrombosis of the lower extremity? ...
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Article Overview
This short coding article discusses how to interpret documentation of a personal history of recurrent deep vein thrombosis during follow-up care and the broad issue of whether the condition should be treated as a history code versus an active thrombotic condition. It is aimed at coding professionals seeking guidance on diagnosis reporting for lower-extremity DVT documentation and anticoagulation-related follow-up. The article is narrowly focused and does not function as a broad clinical review.
Why This Topic Matters
Accurate diagnosis reporting affects record specificity, risk adjustment, and continuity of documented history versus active disease status. The topic is relevant when providers document recurrent DVT history in patients receiving anticoagulation therapy.
What You Will Learn
- How the article frames documentation of recurrent deep vein thrombosis history
- The general coding issue raised for follow-up encounters involving anticoagulation therapy
- How the article distinguishes the topic area from broader DVT management questions
- What type of diagnosis documentation the article is focused on reviewing
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle staff
- Compliance teams
Codes Discussed
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