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2025 ICD-10-CM code Z86.718

Personal history of other venous thrombosis and embolism.

Adhere to official ICD-10-CM coding guidelines and conventions.If the patient is receiving anticoagulation therapy currently, a code should also be utilized to capture this concurrent condition.

No modifiers are applicable to Z86.718.

The medical necessity for coding Z86.718 rests on the accurate documentation of a past VTE event. This information is essential for risk assessment, preventative strategies, and ongoing patient care.If current symptoms exist, a code reflecting the active condition would take precedence.

The clinical responsibility for this code involves documenting a complete history of the patient's previous VTE, including details such as location, date of occurrence, treatment received, and current status. The physician should ensure that documentation supports the absence of any current symptoms or ongoing treatment for the condition. If the patient is on anticoagulation, a separate code may be necessary to reflect this.

IMPORTANT:This code should be used in conjunction with other relevant ICD-10 codes, such as those specifying the location of the previous clot (e.g., deep vein thrombosis, superficial vein thrombosis, pulmonary embolism) if known.Z86.711 (Personal history of pulmonary embolism) and Z79.01 (Long-term use of anticoagulants) might also be relevant depending on the clinical circumstances.

In simple words: The patient has had a blood clot in a vein in the past, but it is not causing problems now and they are not getting treatment for it.

This code signifies a documented history of venous thromboembolism (VTE) other than pulmonary embolism or specified venous thrombosis.It indicates a past occurrence of a blood clot in a vein, excluding those specifically addressed by other codes within the Z86.71 category.This code is used when the patient is currently asymptomatic and not receiving active treatment for the condition.

Example 1: A 60-year-old female presents for a routine check-up.Her medical history reveals a deep vein thrombosis (DVT) in her left leg 18 months ago, which was successfully treated with anticoagulation.She is currently asymptomatic and off anticoagulation.Z86.718 is appropriate here., A 45-year-old male is admitted for an unrelated procedure.His history includes a pulmonary embolism 5 years prior, treated successfully.Currently asymptomatic.While Z86.711 (personal history of pulmonary embolism) is more specific, Z86.718 could also be used depending on physician preference and documentation., A 30-year-old female presents for follow-up after a previous DVT.She completed a course of anticoagulation and is now asymptomatic.She is being seen for general health and risk factor management. Z86.718 would be appropriate, and additional codes could be added to reflect her current health status and risk factors.

Documentation should clearly indicate a past history of venous thromboembolism (VTE). This should include the date(s) of the event(s), location of the clot, and details on the treatment rendered.The current asymptomatic status and absence of active treatment should be explicitly documented to support the use of Z86.718.

** When coding a past VTE, always ensure that the documentation clearly differentiates between a past event and a current, active condition.Accurate documentation is crucial to avoid coding errors and ensure appropriate reimbursement.

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