ICD code I82.409 is used to classify an acute embolism and thrombosis of unspecified deep veins in an unspecified lower extremity.
ICD code I82.409 is used to identify a medical condition characterized by an acute embolism and thrombosis occurring in unspecified deep veins of an unspecified lower extremity. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is used by healthcare providers to document and categorize diagnoses for billing and treatment purposes. The code indicates that the specific deep vein and the specific lower extremity affected are not specified in the medical documentation.
1. Sudden Onset of Symptoms: The patient experiences a rapid onset of symptoms such as swelling, pain, or tenderness in the lower extremity, which may indicate an acute condition.
2. Unilateral Leg Swelling: The presence of swelling in one leg, particularly in the calf or thigh area, without a known cause, should prompt consideration of this condition.
3. Localized Pain or Tenderness: The patient reports localized pain or tenderness in the lower extremity, often described as a cramping or soreness, which may worsen with movement or pressure.
4. Skin Discoloration: The affected area may exhibit changes in skin color, such as redness or a bluish tint, indicating potential circulatory issues.
5. Warmth in the Affected Area: The skin over the affected area may feel warmer to the touch compared to the surrounding areas, suggesting inflammation or increased blood flow.
6. History of Risk Factors: The patient has a history of risk factors such as recent surgery, prolonged immobilization, cancer, or a previous history of similar conditions, which increases the likelihood of occurrence.
7. Absence of Other Diagnoses: Other potential causes for the symptoms have been ruled out, and the presentation aligns with the characteristics of an acute embolism or thrombosis.
8. Diagnostic Imaging Confirmation: Imaging studies, such as an ultrasound or venography, confirm the presence of an embolism or thrombosis in the deep veins of the lower extremity.
9. Laboratory Test Results: Blood tests, such as D-dimer, may support the diagnosis by indicating abnormal clotting activity.
10. Clinical Judgment: The healthcare provider uses clinical judgment based on the overall presentation and diagnostic findings to determine the appropriateness of using this code.
For the ICD code I82.409, which pertains to an acute embolism and thrombosis of unspecified deep veins of an unspecified lower extremity, the relevant CPT codes that may be applicable for treatment include:
1. CPT 37191 - Insertion of intravascular vena cava filter, endovascular, including radiological supervision and interpretation.
2. CPT 37193 - Retrieval (removal) of intravascular vena cava filter, endovascular, including radiological supervision and interpretation.
3. CPT 37241 - Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous.
4. CPT 37248 - Transcatheter placement of an intravascular stent(s), (non-coronary vessel), open or percutaneous, venous, each vessel.
5. CPT 92982 - Percutaneous transluminal balloon angioplasty; single vessel.
6. CPT 92984 - Percutaneous transluminal balloon angioplasty; each additional vessel.
These CPT codes are commonly associated with procedures that may be performed to address conditions related to deep vein thrombosis or embolism in the lower extremities. It is important for healthcare providers to verify the specific procedures performed and ensure accurate coding for proper billing and reimbursement.
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