ICD-10: T82.868

The ICD-10 code T82.868 pertains to "Thrombosis due to vascular prosthetic devices, implants and grafts." Here are some alternative names and related terms associated with this code:

• Synonyms:
• Thrombosis due to vascular prosthetic devices
• Thrombosis due to vascular implants

• Thrombosis due to vascular grafts

• Related Codes:

• T82.868A: This indicates the initial encounter for thrombosis due to vascular prosthetic devices, implants, and grafts.
• T82.868D: This code is used for subsequent encounters related to the same condition.
• Z86.711: Personal history of pulmonary embolism, which may be relevant in the context of thrombosis.

• Z86.718: Personal history of other venous embolism and thrombosis.

• General Classifications:

• The code falls under the broader category of complications associated with cardiac and vascular prosthetic devices, implants, and grafts, which includes other specified complications (T82.8) and embolism due to these devices (T81.4) [2][4][5][10].

These terms and codes are essential for accurate medical documentation and billing, ensuring that healthcare providers can effectively communicate the specifics of a patient's condition.

ICD-10 code T82.868 refers to "Thrombosis due to vascular prosthetic devices, implants, and grafts." This classification is part of the broader category of complications associated with cardiac and vascular prosthetic devices. Here are the key details regarding this code:

• Definition: T82.868 is used to classify thrombosis that occurs as a complication of vascular prosthetic devices, implants, or grafts. This condition involves the formation of a blood clot within or around these medical devices, which can lead to serious health issues.

• Initial Encounter: The specific code T82.868A is designated for the initial encounter of this condition, indicating that it is the first time the patient is being treated for this thrombosis related to a vascular prosthetic device [3][6].

• Subsequent Encounters: For follow-up visits, the code T82.868D is used to indicate a subsequent encounter for the same condition. This allows healthcare providers to track ongoing treatment and management of the thrombosis [4][14].

• Exclusions: It is important to note that this code does not cover complications related to the failure or rejection of transplanted organs and tissues, which are classified under a different set of codes (T86.-) [7].

• Usage: The code T82.868 became effective on October 1, 2024, as part of the 2025 edition of ICD-10-CM. It is applicable for use in medical billing and coding for healthcare providers during the current fiscal year, which runs from October 1, 2024, to September 30, 2025 [1][14].

This classification is crucial for accurately documenting and managing cases of thrombosis associated with vascular prosthetic devices, ensuring that patients receive appropriate care and that healthcare providers can effectively communicate about these conditions.

ICD-10 code T82.868 refers to thrombosis due to vascular prosthetic devices, implants, and grafts. The clinical presentation, signs, symptoms, and patient characteristics associated with this condition can be summarized as follows:

Clinical Presentation

• Thrombosis: The primary issue is the formation of a blood clot within a vascular prosthetic device, implant, or graft. This can lead to obstruction of blood flow.
• Initial Encounter: The code T82.868A specifically denotes the initial encounter for this condition, indicating that the patient is seeking treatment for the first time related to this thrombosis.

Signs and Symptoms

• Pain: Patients may experience localized pain in the area of the prosthetic device or graft, which can vary in intensity.
• Swelling: There may be noticeable swelling in the affected limb or area, indicating possible obstruction of blood flow.
• Color Changes: The skin over the affected area may exhibit color changes, such as pallor or cyanosis, due to reduced blood supply.
• Reduced Pulsation: A diminished or absent pulse may be noted in the extremities supplied by the affected vessel.
• Warmth or Heat: The area around the thrombosis may feel warmer than surrounding tissues, indicating inflammation.

Patient Characteristics

• History of Vascular Procedures: Patients typically have a history of vascular surgeries or interventions involving prosthetic devices, implants, or grafts.
• Risk Factors: Common risk factors include advanced age, obesity, smoking, and conditions that predispose to clot formation, such as diabetes or hyperlipidemia.
• Comorbidities: Patients may have other underlying health issues, such as cardiovascular diseases, which can complicate the clinical picture.

Conclusion

Understanding the clinical presentation and associated signs and symptoms is crucial for timely diagnosis and management of thrombosis related to vascular prosthetic devices. Early recognition can help prevent complications such as limb ischemia or further vascular complications.

The diagnosis for ICD-10 code T82.868, which pertains to thrombosis due to vascular prosthetic devices, implants, and grafts, is based on specific criteria that align with the classification system used in medical coding. Here are the key points regarding the criteria for this diagnosis:

• Definition of Thrombosis: Thrombosis refers to the formation of a blood clot within a blood vessel, which can obstruct blood flow. In the context of T82.868, it specifically relates to clots that develop in association with vascular prosthetic devices, implants, or grafts.

• Clinical Evidence: The diagnosis typically requires clinical evidence of thrombosis, which may include symptoms such as swelling, pain, or discoloration in the affected area. Diagnostic imaging or tests may be utilized to confirm the presence of a thrombus.

• Association with Prosthetic Devices: The thrombosis must be directly linked to the presence of a vascular prosthetic device, implant, or graft. This means that the medical history should indicate the patient has undergone procedures involving such devices.

• Initial and Subsequent Encounters: The ICD-10 code T82.868 can be specified for different encounters:

• Initial Encounter (T82.868A): Used when the patient is being treated for the first time for this condition.

• Subsequent Encounter (T82.868D): Used for follow-up visits after the initial treatment.

• Exclusion of Other Causes: The diagnosis should exclude other potential causes of thrombosis that are not related to vascular prosthetic devices, ensuring that the coding accurately reflects the underlying issue.

• Documentation: Proper documentation in the patient's medical record is essential, detailing the history of the prosthetic device, the occurrence of thrombosis, and any relevant diagnostic findings.

These criteria ensure that the diagnosis is specific and accurately reflects the patient's condition, which is crucial for appropriate treatment and reimbursement purposes [1][3][5][9][10].

The standard treatment approaches for thrombosis due to vascular prosthetic devices, implants, and grafts (ICD-10 code T82.868) typically involve a combination of medical and procedural interventions aimed at resolving the thrombosis and preventing further complications. Here are the key treatment strategies:

1. Anticoagulation Therapy

• Medications: Anticoagulants such as heparin or warfarin are commonly used to prevent further clot formation and to help dissolve existing clots. The choice of anticoagulant may depend on the patient's specific condition and risk factors.

2. Endovascular Procedures

• Thrombectomy: This is a minimally invasive procedure where the clot is mechanically removed from the affected vessel. It is often performed using catheter-based techniques.
• Angioplasty and Stenting: In cases where the thrombosis has caused significant narrowing of the vessel, angioplasty (inflating a balloon to open the vessel) followed by stenting (placing a mesh tube to keep the vessel open) may be necessary.

3. Surgical Intervention

• Bypass Surgery: In severe cases where endovascular approaches are not effective, surgical bypass may be performed to reroute blood flow around the blocked area.
• Removal of Prosthetic Devices: If the thrombosis is recurrent and associated with a specific prosthetic device, surgical removal of the device may be considered.

4. Monitoring and Follow-Up

• Regular follow-up appointments are essential to monitor the effectiveness of the treatment and to make adjustments as necessary. This may include imaging studies to assess blood flow and the status of the prosthetic device.

5. Lifestyle Modifications

• Patients are often advised to adopt lifestyle changes that can help reduce the risk of thrombosis, such as maintaining a healthy weight, engaging in regular physical activity, and avoiding smoking.

6. Patient Education

• Educating patients about the signs and symptoms of thrombosis, the importance of adherence to prescribed medications, and lifestyle changes is crucial for preventing recurrence.

These treatment approaches are tailored to the individual patient's needs and the specifics of their condition, including the location and severity of the thrombosis, as well as any underlying health issues. It is important for healthcare providers to assess each case carefully to determine the most appropriate course of action.