2025 ICD-10-CM code I82.70
(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
Chronic embolism and thrombosis of unspecified veins of the upper extremity.
Modifiers may be applicable depending on the specific circumstances of the case.Consult the latest coding guidelines for details.
The medical necessity for this code is established by the presence of clinically significant symptoms or complications associated with chronic venous thrombosis or embolism in the upper extremity.This might include, but is not limited to, swelling, pain, discoloration of the skin, ulceration, and impaired function. Diagnostic imaging is essential to confirm the diagnosis and guide management decisions.
Diagnosis and management of venous thromboembolic disease in the upper extremity. This includes obtaining a thorough patient history, performing a physical examination, ordering relevant investigations (e.g., ultrasound, venography), and determining appropriate treatment (e.g., anticoagulation, thrombolysis).
- 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 describes a long-term problem with blood clots blocking veins in the arm.The exact vein isn't specified.
This code represents chronic embolism and thrombosis affecting unspecified veins in the upper extremity.It encompasses instances where there is a persistent blockage of blood flow due to a blood clot (thrombosis) or a traveling blood clot (embolism) in the veins of the arm. The specific vein(s) involved are not specified.
Example 1: A 60-year-old female presents with persistent swelling and pain in her right arm, lasting several weeks.Ultrasound reveals chronic thrombosis in the subclavian vein.Code I82.70 is assigned, along with I82.701 for laterality., A 45-year-old male with a history of atrial fibrillation develops acute arm swelling and pain. Imaging studies confirm an acute embolism of an unspecified vein in his left arm. The physician treats him acutely with anticoagulants and the patient later develops chronic symptoms, leading to the assignment of I82.70 and I82.702.Further codes for atrial fibrillation and anticoagulant treatment are assigned., A 72-year-old patient presents with bilateral arm swelling and chronic pain.Venography shows chronic thrombosis in both upper extremities.I82.70 and I82.703 are assigned.
Detailed patient history, physical examination findings (including assessment of arm swelling, pain, and other symptoms), results of imaging studies (ultrasound, venography, etc.) confirming chronic venous thrombosis or embolism, and documentation of treatment provided.
** This code should be used cautiously, as more specific codes exist when the affected vein is known.Always ensure that the documentation supports the chosen code.
- Payment Status: Active
- Specialties:Vascular surgery, phlebology, general surgery
- Place of Service:Office, Hospital (inpatient or outpatient), Ambulatory Surgical Center