Adding venous thromboembolism to the CDI checklist at your facility

Article Overview

This article covers clinical documentation improvement (CDI) considerations for venous thromboembolism and related hypercoagulable conditions in the inpatient setting. It is intended for CDI professionals, coders, and clinicians who want to better understand the types of documentation support, clinical indicators, and care elements that may affect record specificity and severity capture. The discussion focuses on broad risk factors, documentation alignment, and the role of associated treatment, evaluation, and monitoring.