2025 ICD-10-CM code I82.4Y9
(Active) Effective Date: N/A Diseases of the circulatory system - Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified 9 Feed
Acute embolism and thrombosis of unspecified deep veins of unspecified proximal lower extremity.
Medical necessity for treatment of acute deep vein thrombosis is established by the presence of symptoms, confirmation of the diagnosis through appropriate imaging studies, and the potential risk of complications like pulmonary embolism.
Diagnosis and management of this condition typically falls under the purview of vascular specialists, interventional radiologists, and potentially other specialists depending on the underlying cause and complications. Clinical responsibilities include confirming the diagnosis, assessing the extent of the thrombus, determining the underlying cause, and initiating appropriate treatment to prevent further clot propagation and potential complications like pulmonary embolism. Treatment strategies often involve anticoagulation therapy, thrombolysis, or other interventions like inferior vena cava filters. Regular monitoring and follow-up are crucial to ensure treatment efficacy and manage potential complications.
In simple words: This code represents a blood clot in the deep veins of the upper leg, where the specific vein isn't specified.
Acute embolism and thrombosis of unspecified deep veins of unspecified proximal lower extremity. This condition involves the formation of a blood clot (thrombosis) in the deep veins of the proximal lower extremity, along with the potential for a piece of the clot to break off and travel through the bloodstream (embolism). The specific deep vein affected is not specified, and neither is the laterality (right, left, or bilateral).
Example 1: A patient presents with pain, swelling, and redness in their right upper thigh. Ultrasound imaging confirms a deep vein thrombosis in the proximal right lower extremity, without specifying the precise vein affected. The code I82.4Y9 is used., A patient with a history of prolonged immobility develops sudden onset shortness of breath and chest pain. Imaging reveals a pulmonary embolism, and further investigation identifies a deep vein thrombosis in the proximal left lower extremity as the source. I82.4Y9 is used to code the DVT, with additional codes for the pulmonary embolism., A patient undergoes surgery and subsequently develops pain and swelling in both upper legs. Duplex ultrasound reveals bilateral deep vein thrombosis in the proximal lower extremities. The code I82.4Y9 is applied.
Documentation should include details about the location and laterality of the thrombus, diagnostic methods used (e.g., ultrasound), and any associated symptoms or complications. Medical necessity for any procedures or treatments should also be clearly documented.
- Specialties:Vascular surgery, interventional radiology, internal medicine, cardiology (in cases of associated pulmonary embolism), and general surgery (especially in postoperative cases).
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital, Office, Independent Clinic.