2025 ICD-10-CM code I82.5
(Active) Effective Date: N/A Revision Date: N/A Diseases of veins, lymphatic vessels and lymph nodes - Other venous embolism and thrombosis Diseases of the circulatory system (I00-I99) Feed
Chronic embolism and thrombosis of deep veins of the lower extremity.
Modifiers may be applicable depending on the circumstances of the encounter and services provided, for example, to specify the type of service (e.g., initial or subsequent visit) or the location of the service. Consult the relevant modifier guidelines for clarification.
Medical necessity for coding I82.5 is established by the presence of clinical findings consistent with chronic deep vein thrombosis of the lower extremity, confirmed by appropriate diagnostic testing.Treatment is typically indicated to prevent pulmonary embolism and other complications.
The clinical responsibility involves diagnosis and management of deep vein thrombosis (DVT) in the lower extremities, including assessment of risk factors, ordering appropriate investigations (e.g., Doppler ultrasound), implementing treatment (e.g., anticoagulation), and monitoring for complications.
In simple words: This code describes a long-term condition where blood clots form in the deep veins of the legs. It's important to note that this doesn't include recent blood clots or clots in other parts of the body.
Chronic embolism and thrombosis of deep veins of the lower extremity.This code is used to classify cases of long-standing blood clots in the deep veins of the legs.It excludes acute conditions and those involving specific vessels (like the cerebral or pulmonary veins). Use additional code, if applicable, for associated long-term (current) use of anticoagulants (Z79.01).Excludes1: personal history of venous embolism and thrombosis (Z86.718). 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.-).
Example 1: A 60-year-old woman presents with persistent leg swelling, pain, and discoloration after a recent long-haul flight.Doppler ultrasound confirms chronic deep vein thrombosis in her right calf.I82.5 is the appropriate code., A 45-year-old male with a history of immobility due to a spinal cord injury has developed chronic leg swelling and pain.Diagnostic testing reveals chronic DVTs in both legs. I82.5 is used., A 72-year-old patient with a history of heart failure and atrial fibrillation is admitted to the hospital with worsening lower extremity edema and pain.Imaging confirms chronic DVT in the left femoral vein. I82.5 is coded along with codes reflecting the heart failure and atrial fibrillation.
Detailed patient history including risk factors (e.g., prolonged immobility, recent surgery, pregnancy, family history of DVT), physical examination findings (e.g., edema, tenderness, discoloration), results of diagnostic tests (e.g., Doppler ultrasound, venography), and treatment provided (e.g., anticoagulation therapy).
** This code should be used cautiously and only when documentation clearly supports a chronic, rather than acute, presentation of DVT. It's crucial to accurately document the location (e.g., superficial vs deep veins, specific leg segment), laterality, and any associated conditions or complications.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD code.
- Specialties:Vascular surgery, phlebology, internal medicine, hematology
- Place of Service:Office, Hospital (Inpatient and Outpatient),Urgent Care Facility, Skilled Nursing Facility