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ICD-10 Guide
ICD-10 CodesK75.1

K75.1

Billable

Phlebitis of portal vein

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K75.1 is a billable code used to indicate a diagnosis of phlebitis of portal vein.

Key Diagnostic Point:

Phlebitis of the portal vein is an inflammatory condition affecting the portal vein, which is responsible for transporting blood from the gastrointestinal tract and spleen to the liver. Clinically, patients may present with abdominal pain, ascites, and signs of liver dysfunction, such as jaundice. The condition can arise from various etiologies, including infections, thrombosis, or as a complication of liver disease. The anatomy involved includes the portal vein, which branches into the right and left portal veins, supplying blood to the liver lobes. Disease progression can lead to portal hypertension, hepatic encephalopathy, and liver failure if not addressed promptly. Diagnostic considerations include imaging studies such as ultrasound, CT scans, or MRI to visualize the portal vein and assess for thrombosis or inflammation. Laboratory tests may also be necessary to evaluate liver function and rule out other gastrointestinal disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification with other types of phlebitis or liver conditions.
  • Documentation gaps may arise if the clinical significance of portal vein involvement is not clearly stated.
  • Billing challenges may occur if the relationship between phlebitis and underlying liver disease is not well documented.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Hepatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Phlebitis of the portal vein can significantly impact patient health, leading to complications such as portal hypertension and liver failure, which can increase healthcare utilization. Understanding the epidemiology of this condition is crucial, as it may be associated with underlying liver diseases prevalent in certain populations. Quality measures should focus on early diagnosis and management to prevent progression and improve patient outcomes.

ICD-9 vs ICD-10

Phlebitis of the portal vein can significantly impact patient health, leading to complications such as portal hypertension and liver failure, which can increase healthcare utilization. Understanding the epidemiology of this condition is crucial, as it may be associated with underlying liver diseases prevalent in certain populations. Quality measures should focus on early diagnosis and management to prevent progression and improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is supported by medical necessity and that all relevant tests are documented. Common denials may arise from insufficient documentation linking the phlebitis to the portal vein specifically, or from not providing adequate clinical rationale for the tests ordered. Coding best practices include using precise terminology and ensuring that all related conditions are coded appropriately to avoid undercoding or overcoding.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K75.1?

K75.1 specifically covers phlebitis of the portal vein, which may be associated with conditions such as portal vein thrombosis, liver cirrhosis, and infections that lead to inflammation of the portal vein.

When should K75.1 be used instead of related codes?

K75.1 should be used when there is clear documentation of phlebitis specifically affecting the portal vein, as opposed to other veins or conditions that may present similarly but do not involve the portal circulation.

What documentation supports K75.1?

Documentation should include clinical findings, imaging results confirming portal vein involvement, laboratory tests indicating liver function, and any relevant history of liver disease or gastrointestinal conditions.