2025 ICD-10-CM code I82.4
(Active) Effective Date: N/A Diseases of the circulatory system - I82.4 IX Feed
Acute embolism and thrombosis of deep veins of lower extremity.
Medical necessity for treatment is established by the presence of symptoms and objective evidence of DVT/embolism. The medical record should clearly document the signs, symptoms, and diagnostic findings supporting the need for intervention to prevent potential complications such as pulmonary embolism.
Diagnosis and management of this condition is typically overseen by physicians specializing in vascular surgery, internal medicine, or related fields. They are responsible for confirming the diagnosis, assessing the extent of the blockage, and determining the appropriate treatment strategy, which may include anticoagulants, thrombolytic therapy, or other interventions.
In simple words: This code indicates a sudden blockage in the deep veins of the leg caused by a blood clot formed in that location or one that has traveled there from elsewhere in the body.
Acute embolism and thrombosis of deep veins of lower extremity. This code specifies the acute blockage of the deep veins in the lower extremity due to a blood clot (thrombosis) or a piece of a blood clot or other material that has travelled from another part of the body and lodged in the vein (embolism).
Example 1: A 50-year-old patient presents with pain, swelling, and redness in their left calf after a long flight.Doppler ultrasound confirms the presence of a deep vein thrombosis (DVT) in the femoral vein.I82.4 is used to code the diagnosis., A 65-year-old patient with a history of atrial fibrillation experiences sudden onset of pain and swelling in their right leg.Imaging reveals an acute embolism in the popliteal vein.I82.4 is used to code the diagnosis., A 30-year-old patient on oral contraceptives develops pain and swelling in their lower leg after a minor injury.A DVT is confirmed in the tibial vein.I82.4 is used to code the diagnosis.
Documentation should include the location and laterality (right, left, or bilateral) of the DVT/embolism, the method of diagnosis (e.g., ultrasound, venography), the acuity of the condition, and any associated symptoms or underlying conditions.
** Excludes2: venous embolism and thrombosis of: cerebral (I63.6, I67.6), coronary (I21-I25), intracranial and intraspinal, septic or NOS (G08), intracranial, nonpyogenic (I67.6), intraspinal, nonpyogenic (G95.1), mesenteric (K55.0-), portal (I81), pulmonary (I26.-). Code first venous embolism and thrombosis complicating: abortion, ectopic or molar pregnancy (O00-O07, O08.7), pregnancy, childbirth, and the puerperium (O22.-, O87.-)
- Payment Status: Active
- Specialties:Vascular Surgery, Internal Medicine, Hematology, Cardiology, Family Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office, Outpatient Hospital, Ambulatory Surgical Center