2025 ICD-10-CM code I82
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of veins, lymphatic vessels and lymph nodes - Other venous embolism and thrombosis Diseases of the circulatory system (I00-I99) Feed
Other venous embolism and thrombosis. This code is used when the location of the venous embolism and thrombosis is not specified or is otherwise not classifiable under more specific codes.
Not applicable to ICD-10 codes. Modifiers are used with CPT and HCPCS codes.
Medical necessity for the diagnosis and treatment of venous thromboembolism is established by clinical presentation, diagnostic findings indicating the presence of a blood clot, and the need to prevent potentially life-threatening complications such as pulmonary embolism.
The clinical responsibility falls on the physician diagnosing and managing the venous thromboembolic event. This encompasses a thorough history and physical exam, appropriate diagnostic tests (such as ultrasound, D-dimer), and the implementation of a treatment plan based on the severity and location of the clot.The physician is responsible for proper documentation supporting medical necessity and accurate coding.
- Diseases of the circulatory system (I00-I99)
- I80-I89: Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
In simple words: This code is for blood clots in veins that aren't in specific places like the lungs, heart, or brain, and for which a more exact location is not known or can't be determined.
I82, Other venous embolism and thrombosis, encompasses venous thromboembolic events not specified elsewhere in the ICD-10-CM classification system.It includes thromboses and embolisms affecting veins that are not specifically categorized as cerebral, coronary, pulmonary, portal, mesenteric, or those involving the vena cava or other thoracic veins.This code should be utilized when a more precise localization or etiology cannot be determined.It is crucial to document the clinical details comprehensively to support the selection of this code, as it's a residual category for situations not fitting other I80-I89 codes.
Example 1: A 65-year-old female patient presents with leg swelling, pain, and warmth.A Doppler ultrasound reveals deep vein thrombosis in the calf, but the exact location is not fully specified. I82 would be appropriate., A 40-year-old male patient recovering from a major surgery develops signs of a blood clot in a vein.The location can't be precisely determined using imaging studies. In this scenario, I82 would capture the event., A 72-year-old patient with a history of heart failure presents with symptoms suggestive of a venous thromboembolism; however, imaging reveals a blood clot in a vein, but the exact location remains unspecified. I82 would be applied.
Complete documentation should include patient history, physical examination findings (such as leg swelling, pain, erythema, warmth), results of diagnostic tests (Doppler ultrasound, venography, D-dimer), treatment plan (anticoagulation, etc.), and any relevant comorbidities.
** Always ensure that the most specific code possible is used, given the available clinical information.If there is any uncertainty, consult the official ICD-10-CM coding guidelines or a medical coding specialist.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.Consult your payer's guidelines and your internal coding protocols.
- RVU: RVUs are not directly associated with ICD-10 codes; they are associated with CPT codes.Reimbursement is dependent on the services rendered and the specific CPT codes used, as well as payer-specific factors.
- Global Days: Not applicable to ICD-10 codes. Global days are relevant to surgical CPT codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes. The TC modifier is used with CPT codes to identify the technical component of a procedure.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules are associated with CPT and HCPCS codes.
- Specialties:Hematology, Vascular Surgery, Cardiology, Internal Medicine, Family Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Urgent Care Facility, Skilled Nursing Facility