Acute embolism and thrombosis of right tibial vein

This code signifies the sudden blockage of the right tibial vein by an embolus (a traveling clot) or a thrombus (a clot formed in situ). This condition is acute, meaning it has a sudden onset and is of recent duration, affecting the deep veins of the lower leg.

Apply this code when documentation clearly indicates an acute thrombotic or embolic event specifically impacting the right tibial vein. Supporting documentation should include imaging reports (e.g., ultrasound, venography) confirming the location and acute nature of the occlusion, along with physician notes detailing the patient's symptoms and diagnosis.

• Ensure the documentation specifies "acute" to differentiate from chronic conditions.
• Verify laterality (right) and the specific vein (tibial) are clearly stated.
• Distinguish between embolism and thrombosis; while both are included, documentation may specify one over the other.