2025 ICD-10-CM code I82.8
(Active) Effective Date: N/A Diseases of the circulatory system - Other venous embolism and thrombosis IX Diseases of the circulatory system Feed
Embolism and thrombosis of other specified veins. Use additional code, if applicable, for associated long-term (current) use of anticoagulants (Z79.01).
Medical necessity for the use of I82.8 is established by the presence of objective evidence of venous embolism or thrombosis in a specified vein not covered by a more specific code. This typically includes imaging studies demonstrating the presence of a clot and clinical findings supporting the diagnosis.
Clinicians responsible for diagnosing and managing I82.8 include vascular surgeons, interventional radiologists, hematologists, internal medicine physicians, and family practitioners, depending on the specific vein affected and the patient's overall health condition. The clinical responsibility involves confirming the diagnosis, assessing the extent of the thrombosis, determining the underlying cause, and initiating appropriate treatment, which may involve anticoagulation therapy, thrombolysis, or other interventions.
- IX Diseases of the circulatory system
- Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)
In simple words: This code refers to a blood clot in a vein other than those specifically listed elsewhere in the ICD-10-CM.
Embolism and thrombosis of other specified veins.This code excludes 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), and pulmonary (I26.-) veins. It also requires coding venous embolism and thrombosis complicating abortion, ectopic or molar pregnancy (O00-O07, O08.7) or pregnancy, childbirth and the puerperium (O22.-, O87.-) first.
Example 1: A patient presents with pain and swelling in the left arm.Diagnostic imaging reveals a thrombus in the axillary vein.I82.8 is used to code this condition., A patient with a history of deep vein thrombosis (DVT) in the leg now presents with a clot in the subclavian vein. I82.8 is applied to document the current thrombosis., A patient undergoing chemotherapy develops a blood clot in the vena cava.While vena cava thrombosis is covered by code I82.3, it can also be classified under I82.8 reflecting the variety of locations "other specified veins" can cover.
Documentation should include the affected vessel, laterality (left or right), the presence of any symptoms, the diagnostic methods used (e.g., ultrasound, venography), and any associated conditions.If anticoagulants are prescribed, the documentation must also support the medical necessity for their use.
- Specialties:Vascular surgery, interventional radiology, hematology, internal medicine, family medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Emergency Room - Hospital, Physician's Office, Independent Clinic