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2025 ICD-10-CM code I82.0

Budd-Chiari syndrome (hepatic vein thrombosis).

Code I82.0 should be used for confirmed cases of Budd-Chiari syndrome.It is important to differentiate Budd-Chiari syndrome (hepatic vein thrombosis) from portal vein thrombosis (I81).If both conditions are present, both codes should be reported.

Medical necessity for treatment of Budd-Chiari syndrome is established by the presence of symptoms and/or complications related to the hepatic vein thrombosis.This may include ascites, hepatomegaly, liver dysfunction, and other related conditions.Treatment is aimed at restoring blood flow, managing symptoms, and preventing further complications such as liver failure.

Diagnosis and management of Budd-Chiari syndrome typically falls under the purview of hepatologists (liver specialists), gastroenterologists, and potentially interventional radiologists.Clinical responsibilities include:* Diagnosing the condition through physical examination, imaging studies (ultrasound, CT, MRI), and liver biopsy.* Managing the condition through medications (anticoagulants, diuretics), and procedures to improve blood flow through the liver (angioplasty, stenting, TIPS procedure).* Monitoring the patient's liver function and overall health.* Providing long-term care and support.

In simple words: Budd-Chiari syndrome is a rare disease where the veins that carry blood out of your liver become blocked. This blockage can cause the liver to swell, fluid to build up in your belly, and can eventually lead to liver failure.

Budd-Chiari syndrome is a condition characterized by blockage of the hepatic veins (veins that drain the liver).This blockage can lead to liver enlargement, ascites (fluid buildup in the abdomen), and eventually liver failure.

Example 1: A 35-year-old woman presents with abdominal pain, ascites, and hepatomegaly. Imaging reveals hepatic vein thrombosis. Diagnosis: I82.0 Budd-Chiari syndrome., A patient with polycythemia vera (a blood disorder) develops Budd-Chiari syndrome due to the increased thickness of their blood and resulting clot formation. Diagnosis: I82.0 Budd-Chiari syndrome., A patient undergoes a liver transplant due to complications from end-stage liver disease secondary to Budd-Chiari syndrome.The Budd-Chiari syndrome is coded as the underlying cause of the liver failure.

Documentation should include imaging findings (ultrasound, CT, MRI) confirming the presence of hepatic vein thrombosis, clinical signs and symptoms such as abdominal pain, ascites, and hepatomegaly, and any underlying conditions that may have contributed to the development of Budd-Chiari syndrome. Also document the treatment plan including medications and procedures.

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