2025 ICD-10-CM code I82.2
(Active) Effective Date: N/A Diseases of the circulatory system - Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified 9 Feed
Embolism and thrombosis of the vena cava and other thoracic veins.
Medical necessity hinges on the impact of the venous obstruction on the patient's health. The presence of symptoms, risk of complications (e.g., pulmonary embolism), and the chosen treatment strategy should be documented.
Clinicians responsible for diagnosing and managing I82.2 include vascular surgeons, cardiologists, internists, and hospitalists, depending on the acuteness and location of the thrombus/embolism.
In simple words: This code indicates a blockage, due to a blood clot, in the large vein returning blood from the lower body to the heart, or other veins in the chest.
This code signifies the presence of a blood clot (thrombosis) or blockage caused by a traveling blood clot (embolism) in the vena cava (the large vein returning blood to the heart from the lower body) or other veins within the thorax (chest).
Example 1: A patient presents with swelling in the legs and lower abdomen, shortness of breath, and chest pain. Diagnostic imaging reveals a thrombus in the inferior vena cava., Following a central venous catheter placement, a patient develops pain and swelling in the arm and neck. An embolism in a thoracic vein is identified., A patient with a history of deep vein thrombosis experiences sudden chest pain and difficulty breathing, indicating a possible pulmonary embolism originating from a vena cava thrombus.
Documentation should include imaging studies confirming the presence, location, and extent of the thrombus/embolism, along with details of symptoms, risk factors (e.g., recent surgery, immobility, hypercoagulable state), and associated medical conditions.
- Specialties:Vascular surgery, cardiology, internal medicine, hospital medicine, critical care medicine, interventional radiology.
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office, Outpatient Hospital, Independent Clinic.