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2025 ICD-10-CM code I80.0

Phlebitis and thrombophlebitis of superficial vessels of lower extremities.

Code first any underlying condition or complication.Laterality should be specified in the documentation.

Medical necessity is established by the presence of symptoms such as pain, swelling, redness, and warmth in the affected area, confirmed by physical examination and potentially supported by imaging.The severity of symptoms, risk of complications, and need for treatment justify the code's use.

Diagnosis and management of superficial venous thrombosis in the lower extremities, including assessment of symptoms, physical examination, diagnostic testing (such as ultrasound), and treatment options such as medication, compression therapy, and/or supportive care.

IMPORTANT:I80.1 (Phlebitis and thrombophlebitis of femoral vein), I80.2 (Phlebitis and thrombophlebitis of other and unspecified deep vessels of lower extremities)

In simple words: This code is for inflammation or inflammation with blood clots in the smaller surface veins of your legs. It doesn't include clots in deeper leg veins.

This code describes inflammation (phlebitis) and inflammation with clot formation (thrombophlebitis) affecting the superficial veins of the lower extremities.It specifically excludes deep vein thrombosis and other specified conditions.The affected vessel and laterality should be documented.

Example 1: A 60-year-old female presents with pain, swelling, redness, and warmth in her right calf.A physical exam reveals a superficial vein thrombosis.This code would be used after a proper diagnosis., A 45-year-old male with a history of varicose veins experiences sudden onset of pain and redness along a superficial vein in his left leg.After an ultrasound confirms the diagnosis of superficial thrombophlebitis, this code is applied., A 72-year-old female with a history of heart failure reports localized leg pain and swelling.Physical examination reveals a tender, erythematous superficial vein in her right leg.This code would be used to indicate the diagnosis after confirmation via ultrasound or other imaging.

Detailed history and physical examination documenting the location, extent, and severity of the phlebitis or thrombophlebitis.Results of any diagnostic imaging (e.g., ultrasound) confirming the diagnosis and specifying the affected vessel.Documentation of the treatment plan and patient response.

** This code should only be used for superficial vein thrombosis.Deep vein thrombosis is coded separately.Consider using additional codes to specify any complications or comorbidities.

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