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��Page of Independence Blue Cross offers products through its subsidiaries Independence Hospital IndemnityPlan, Keystone Health Plan East,QCCInsuranceCompany, andwithHighmarkBlueShieldindependentlicensees of ��Page of Independence Blue Cross offers products through its subsidiaries Independence Hospital IndemnityPlan, Keystone Health Plan East,QCCInsuranceCompany, andwithHighmarkBlueShieldindependentlicensees ofBlueCrossBlueShield Association.Z86.711 Personal history of pulmonary embolismA/P: Patient with unprovoked PE five months agoCurrently asymptomatic, normal exam will continue for the full six months anticoagulation.Code acute DVT while the patient is anticoagulated for up to six months (documentduration in yournote).*Continue coding acute deep vein thrombosis (DVT) past six months only if clinically appropriateI82.432 Acute embolism and thrombosis of left popliteal vein A/P: Patient continues warfarin two months into sixmonth course for left popliteal DVT. Asymptomatic, continue monitor INR.Z86.718 Personal history of other venous thrombosis and embolismA/P: Patient with unprovoked DVT seven m

onths ago.Currently asymptomatic, normal exam will continue full 12 months anticoagulation.Chronic DVT criteria:REPEAT Radiologic studies (Ultz, CT, etc.) confirms persistent cl�ot four weeksSpecify Chronic DVTCode I82.5*5th character for Vein involved6th character for Right, Left, bilateralor unspecifiedCode I82.532 Chronic embolism thrombosis left popliteal veinCode Z79.01 Long term (current) use anticoag*P: Continued swelling, pain, DVT 6 months ago L popliteal vein.Ultrasoundreveals chronic DVT. Continue anticoagulation and compression stocking, refer to vascular surgery.*Use additional code, if applicable, for longterm (current) use of anticoagulants.ferencesJin J. Treatment Duration for Pulmonary Embolism.JAMA.314(1):98. doi:10.1001/jama.2015.7431CDC: “Venous Thromboembolism (Blood Clots).” March 2022University of North Carolina School of Medicine:"Deep vein thrombosis and pulmonary embolism: Information for newly diagnosed patients,"“Psychological Impact ofHaving Blot Clot.”“Factors determining clot resolution in patients with acute pulmonary embolism.” Blood Coagul Fibrinolysis. 201

6. Apr;27(3):294“Deep vein thrombosis outcome and the level of oral anticoagulation therapy” Journal Of Vascular Surgery. November 1999 Caprini et al p 810. ��Page of Independence Blue Cross offers products through its subsidiaries Independence Hospital IndemnityPlan, Keystone Health Plan East,QCCInsuranceCompany, andwithHighmarkBlueShieldindependentlicensees ofBlueCrossBlueShield Association.Independence Blue Cross coding and documentation education materials are based on current guidelines, are tused for reference only, and are not intended to replace the authoritative guidance of the ICDCM Official Guidelines for Coding and Reporting as approved by the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), the Centers for Medicare & Medicaid Services (CMS)and the National Center for Health Statistics (NCHS). Clinical and coding decisions are to be made based on the following:The independent judgment of the treating physician or qualified health care practitioner.The best interests of the patient.The clinical documentation as contained in the medical record