IVC Filter ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for IVC Filter?

The ICD-10 codes for IVC (Inferior Vena Cava) filters encompass a range of scenarios, from the device's presence to complications that may arise. Below are the codes and their clinical descriptions:

• Z95.828 - Presence of other vascular implants and grafts: This code is designated for patients with an IVC filter implanted as a preventative measure against pulmonary embolism without any current complications or associated conditions.
• Z45.89 - Encounter for adjustment and management of other implanted devices: This code is used for follow-up visits where the IVC filter may require adjustment, inspection, or evaluation to ensure it functions as intended.
• T82.525A - Complication due to IVC filter, initial encounter: This code applies to the initial treatment of any complication directly related to the IVC filter, such as device migration, occlusion, or perforation of the vena cava.
• I82.220 - Acute embolism and thrombosis of inferior vena cava: This code is used when an acute thrombotic event occurs in the inferior vena cava, potentially related to the presence of an IVC filter.
• T82.528A - Other complication of vascular prosthetic devices, implants, and grafts, initial encounter: For complications that do not fall under the common issues, this code captures other less frequent problems associated with IVC filters.
• Z95.828 - Presence of other vascular implants and grafts, subsequent encounter: This code is for subsequent encounters after the initial placement of the IVC filter, indicating the device is still in place without any noted complications.
• T82.529A - Complication of vascular prosthetic devices, implants, and grafts, unspecified, initial encounter: When a complication is present but not specified, this code is used for the initial encounter.

Each code is crucial for accurate documentation, billing, and communication among healthcare providers. For a detailed explanation of when and how to use these codes, please refer to our explainer video on IVC Filter ICD Codes.

Which IVC Filter ICD codes are Billable?

• Z95.828 - Yes
• Z45.89 - Yes
• T82.525A - Yes
• I82.220 - Yes

Clinical Information

Inferior Vena Cava (IVC) filters are critical devices used to prevent life-threatening pulmonary embolisms. Here's an expanded overview of their clinical relevance:

Purpose and Indication:

• IVC filters are small devices placed within the inferior vena cava to catch blood clots and prevent them from traveling to the lungs, which could result in a pulmonary embolism.
• They are typically indicated for patients with deep vein thrombosis (DVT) or pulmonary embolus (PE) when anticoagulation therapy is contraindicated or has failed.

Procedure:

• The placement of an IVC filter is usually performed by an interventional radiologist under imaging guidance, ensuring accurate positioning within the inferior vena cava.

Risks and Complications:

• Potential complications from IVC filter placement include, but are not limited to, filter migration, where the filter moves from its original position; filter fracture, where parts of the filter break off; and IVC occlusion, where the filter or a clot completely blocks the vena cava.
• There is also a risk of IVC penetration, where the filter's struts protrude through the vein wall, which may damage adjacent structures.

Monitoring and Follow-Up:

• Regular follow-up and imaging, such as with duplex ultrasound, CT scan, or venography, are recommended to assess the filter's position and the presence of any clots and to determine if and when filter removal is appropriate.
• The decision to remove an IVC filter is based on a balance of the risk of PE against the potential complications of long-term filter placement.

Removal:

• If the patient's risk of thromboembolism decreases and anticoagulation becomes viable, the filter may be removed to prevent long-term complications.

This clinical information provides healthcare professionals with a concise yet comprehensive understanding of IVC filters, their use, and the importance of monitoring.

Synonyms Include:

• Inferior vena cava filter
• Venous thrombosis filter
• Pulmonary embolism prevention device
• Vascular embolic filter
• Endovascular clot trap