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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