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2025 ICD-10-CM code I82.811

Embolism and thrombosis of superficial veins of right lower extremity.

This code should not be used if the thrombosis involves deep veins of the lower extremity.Use additional codes to specify any underlying conditions or complications.

Medical necessity for treatment of superficial vein thrombosis is established by the presence of symptoms and the potential for complications such as deep vein thrombosis or pulmonary embolism. Treatment may include warm compresses, elevation of the affected limb, nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief, and in some cases, anticoagulant therapy.

Diagnosis and management of this condition is typically overseen by physicians specializing in vascular surgery, internal medicine, or general surgery.

IMPORTANT:Use additional code, if applicable, for associated long-term (current) use of anticoagulants (Z79.01)

In simple words: A blood clot has formed in a surface vein in your right lower leg.

Embolism and thrombosis of superficial veins of right lower extremity. This condition involves the formation of a blood clot (thrombosis) in a superficial vein of the right lower extremity, which may or may not be accompanied by an embolus (a traveling blood clot).

Example 1: A patient presents with pain, swelling, and redness along a superficial vein in their right lower leg.Diagnosis of superficial vein thrombosis is confirmed by ultrasound., Following a recent varicose vein procedure in the right leg, a patient develops a localized area of redness, tenderness, and a palpable cord-like structure, indicative of superficial thrombophlebitis., An otherwise healthy individual develops a spontaneous superficial vein thrombosis in their right lower leg during a long period of immobility, such as a long-haul flight.

Documentation should include details of the location and extent of the thrombosis, the presence or absence of associated inflammation (phlebitis), and any contributing factors, such as trauma, immobility, or recent surgery. Imaging studies, such as ultrasound, may be necessary to confirm the diagnosis.Documentation of any associated symptoms, such as pain, swelling, and redness, should also be included.

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