ICD-10-CM Billable Code

O22.33

Deep phlebothrombosis in pregnancy, third trimester

Clinical Classification Guidelines

Medical Intelligence & Overview

Deep phlebothrombosis (DVT) during pregnancy refers to the formation of a blood clot in the deep veins, commonly in the legs. When this condition occurs in the third trimester, it involves increased risk due to physiological changes in the body. Recognizing the signs and understanding the causes and treatment options are vital for managing health during pregnancy.

Causes & Symptoms

Clinical Causes: Increased blood clotting tendency during pregnancy Changes in blood flow due to the enlarged uterus exerting pressure on pelvic veins Hormonal changes that affect blood coagulation Reduced mobility or prolonged periods of immobility History of blood clots or clotting disorders Obesity or certain genetic predispositions

Key Symptoms: Swelling, usually in one leg Pain or tenderness in the affected leg, often starting in the calf Warmth and redness over the affected area Discoloration of the skin in the affected limb Difficulty walking or standing comfortably Leg heaviness or a feeling of fatigue

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of clinical examination and imaging tests. Healthcare providers may perform:

Treatment Protocols: Managing deep phlebothrombosis during pregnancy involves anticoagulant therapy to prevent clot growth and reduce the risk of complications. Common approaches include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is O22.33 a billable ICD-10 code?
Yes, O22.33 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report O22.33?
Clinical documentation must specify the nature of Deep phlebothrombosis in pregnancy, third trimester and any associated comorbidities for accurate reporting.

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