ICD-10 Code for Thrombosis of Right Renal Vein
The ICD-10 code for thrombosis of the right renal vein is I82.3 (Embolism and thrombosis of renal vein).
Coding Details for Renal Vein Thrombosis
- ICD-10 code I82.3 is the specific code used to classify embolism and thrombosis of the renal vein 1, 2
- This code applies to both right and left renal vein thrombosis, as there is no laterality designation in this particular code 3
- When documenting, it's important to specify "right" renal vein in the clinical documentation for accuracy, even though the code itself doesn't distinguish laterality 4
Clinical Context of Renal Vein Thrombosis
- Renal vein thrombosis can occur as a primary condition or as a complication of other conditions such as nephrotic syndrome 5, 2
- It may present unilaterally (affecting one kidney) or bilaterally (affecting both kidneys) 1
- When renal vein thrombosis extends into the inferior vena cava, it requires more aggressive management 1
Management Considerations Related to Coding
- For unilateral renal vein thrombosis without renal impairment or extension into the IVC, treatment options include either supportive care with radiologic monitoring or anticoagulation 1
- For unilateral renal vein thrombosis that extends into the IVC, anticoagulation is typically recommended for 6 weeks to 3 months 1
- For bilateral renal vein thrombosis with evidence of renal impairment, anticoagulation or initial thrombolytic therapy followed by anticoagulation is suggested 1
Coding Pitfalls to Avoid
- Do not use general venous thrombosis codes when a specific code for renal vein thrombosis exists 4, 3
- Avoid using codes for other abdominal venous thromboses (such as splanchnic or hepatic vein thrombosis) which have separate specific codes 1
- The transition from ICD-9 to ICD-10 created some discontinuities in coding for thrombotic conditions, so ensure you're using current ICD-10 codes 6
- When coding for treatment procedures related to renal vein thrombosis, ensure appropriate procedure codes are also included 4