Aneurysm of the affected vein

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/aneurysm-affected-vein

Being an inpatient in a hospital or a resident in a nursing home

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/being-inpatient-hospital-or-resident-nursing-home

Being immobile

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/being-immobile

Being obese

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/being-obese

Combined oestrogen-progestin contraception

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/combined-oestrogen-progestin-contraception

Congestive cardiac failure

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/congestive-cardiac-failure

Crush injury to the affected vein

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/crush-injury-affected-vein

Exercise of the affected upper limb

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/exercise-affected-upper-limb

Fracture to the spinal column or pelvic bone or femur or tibia

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/fracture-spinal-column-or-pelvic-bone-or-femur-or-tibia

Heparin-induced thrombocytopaenia

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/heparin-induced-thrombocytopaenia

Hormone replacement therapy

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/hormone-replacement-therapy

Inability to obtain appropriate clinical management for deep vein thrombosis

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/inability-obtain-appropriate-clinical-management-deep-vein-thrombosis

Inflammatory bowel disease

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/inflammatory-bowel-disease

Injection or cannulation or incision of the vein

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/injection-or-cannulation-or-incision-vein

Injury to the affected limb requiring treatment with a cast

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/injury-affected-limb-requiring-treatment-cast

Malignant neoplasm

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/malignant-neoplasm

Myeloproliferative disease

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/myeloproliferative-disease

Myocardial infarction

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/myocardial-infarction

Paralysis of either or both lower limbs

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/paralysis-either-or-both-lower-limbs

Pregnancy or being postpartum

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/pregnancy-or-being-postpartum

Significant head injury

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/significant-head-injury

Space occupying lesion causing venous compression

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/space-occupying-lesion-causing-venous-compression

Specified condition for deep vein thrombosis

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/specified-condition-deep-vein-thrombosis

Spinal cord injury

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/spinal-cord-injury

Superficial vein thrombosis

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/superficial-vein-thrombosis

Surgery requiring a general or spinal or epidural anaesthetic

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/surgery-requiring-general-or-spinal-or-epidural-anaesthetic

Therapeutic radiation to the region of the vein

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/therapeutic-radiation-region-vein

Treatment with a cytotoxic agent for a malignant disease

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/treatment-cytotoxic-agent-malignant-disease

Treatment with a selective oestrogen receptor modulator

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/treatment-selective-oestrogen-receptor-modulator

Treatment with an anti-psychotic drug

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/treatment-anti-psychotic-drug

Treatment with thalidomide or lenalidomide for a malignant disease

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/treatment-thalidomide-or-lenalidomide-malignant-disease

Using erythropoietin

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/using-erythropoietin

Varicose veins

Current RMA Instruments

Reasonable Hypothesis SOP	35 of 2021
Balance of Probabilities SOP	36 of 2021

Changes from previous Instruments

ICD Coding

ICD-9-CM Codes: 451.1,451.81,451.83,451.89,453.2,453.8
ICD-10-AM Codes: I80.1, I80.2, I80.8, I82.2, I82.8

Brief description

A deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, usually in the leg. Pulmonary thromboembolism, caused by a clot that detaches and travels to the lungs, is covered by a separate SOP.

A DVT is an episodic condition. If there are separate episodes of DVT they may warrant being diagnosed and determined separately.

Confirming the diagnosis

The condition may be suspected on clinical grounds. Confirmation requires imaging, usually in the form of doppler ultrasound. A D-dimer (blood) test may be used to assist with excluding the diagnosis, and make an ultrasound unnecessary.

The relevant medical specialist is a haematologist or general physician.

Additional diagnoses covered by SOP

Deep venous thrombosis

Conditions excluded from SOP

Arterial thrombosis
Retinal vein thrombosis* - retinal vascular occlusive disease SOP
Non-thrombotic embolism of the venous system^#
Pulmonary thromboembolism*
Superficial thrombophlebitis / superficial venous thrombosis of the upper or lower limbs^#
Thrombosis of cerebral, pulmonary, hepatic, renal, portal or mesenteric veins^#
Varicose veins*

* another SOP applies

^#non-SOP condition

Clinical onset

The condition may be asymptomatic, or present with non-specific features inluding unilateral swelling, pain, warmth, erythema or engorged superficial veins in a leg. There is often an event (e.g. surgery, trauma, a period of immobilisation) that can help to pinpoint the onset. The condition may not be suspected until pulmonary thromboembolism has developed. If there is a past history of DVT and a new episode occurs, it may be appropriate to regard the new episode as a separate condition, with a new clinical onset.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management is directed at preventing progression of thrombosis and the development of thromboembolism, and includes anticoagulant therapy, when indicated.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/deep-vein-thrombosis-g022-i801i802i808i82/rulebase-deep-vein-thrombosis/varicose-veins

Deep Vein Thrombosis G022

Current RMA Instruments

Changes from previous Instruments

ICD Coding

Brief description

Confirming the diagnosis

Additional diagnoses covered by SOP

Conditions excluded from SOP

Clinical onset

Clinical worsening

Rulebase for deep vein thrombosis

Aneurysm of the affected vein

Current RMA Instruments

Changes from previous Instruments

ICD Coding

Brief description

Confirming the diagnosis

Additional diagnoses covered by SOP

Conditions excluded from SOP

Clinical onset

Clinical worsening

Being an inpatient in a hospital or a resident in a nursing home

Current RMA Instruments

Changes from previous Instruments

ICD Coding

Brief description

Confirming the diagnosis

Additional diagnoses covered by SOP

Conditions excluded from SOP

Clinical onset

Clinical worsening

Being immobile

Current RMA Instruments

Changes from previous Instruments

ICD Coding

Brief description

Confirming the diagnosis

Additional diagnoses covered by SOP

Conditions excluded from SOP

Clinical onset

Clinical worsening

Being obese

Current RMA Instruments

Changes from previous Instruments

ICD Coding

Brief description

Confirming the diagnosis

Additional diagnoses covered by SOP

Conditions excluded from SOP

Clinical onset

Clinical worsening

Combined oestrogen-progestin contraception

Current RMA Instruments

Changes from previous Instruments

ICD Coding

Brief description

Confirming the diagnosis

Additional diagnoses covered by SOP

Conditions excluded from SOP

Clinical onset

Clinical worsening

Congestive cardiac failure

Current RMA Instruments

Changes from previous Instruments

ICD Coding

Brief description

Confirming the diagnosis

Additional diagnoses covered by SOP

Conditions excluded from SOP

Clinical onset

Clinical worsening

Crush injury to the affected vein

Current RMA Instruments

Changes from previous Instruments

ICD Coding

Brief description

Confirming the diagnosis

Additional diagnoses covered by SOP

Conditions excluded from SOP

Clinical onset