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2025 ICD-10-CM code I82.72

Chronic embolism and thrombosis of deep veins of the upper extremity.

Appropriate 7th character codes should be added to specify the laterality (right, left, or bilateral) of the thrombosis.Code first any underlying condition that may have contributed to the development of the thrombosis.

Modifiers may be applicable depending on the specific circumstances of the encounter and services provided.

Medical necessity is established based on the presence of symptoms and signs consistent with deep vein thrombosis of the upper extremity, confirmed by appropriate diagnostic testing. Treatment is necessary to prevent complications such as pulmonary embolism and post-thrombotic syndrome.

Diagnosis and management of venous thromboembolism, including assessment of risk factors, clinical examination, diagnostic testing (e.g., ultrasound, venography), and treatment planning (e.g., anticoagulation, thrombolysis, surgical intervention).

IMPORTANT:I82.70 (Chronic embolism and thrombosis of unspecified veins of upper extremity), I82.71 (Chronic embolism and thrombosis of superficial veins of upper extremity).Additional 7th character codes may be used to specify laterality (right, left, bilateral).

In simple words: This code describes a long-term problem with blood clots in the deep veins of the arm.Blood clots can block blood flow, potentially leading to pain, swelling, and other complications.

This code signifies chronic blood clot formation (thrombosis) and blockage (embolism) within the deep veins of the upper extremity (arm).This can affect the brachial, radial, or ulnar veins.The condition is considered chronic, indicating long-standing presence rather than an acute event.

Example 1: A 60-year-old woman presents with persistent swelling and pain in her right arm, lasting for several months.Ultrasound reveals chronic thrombosis of the deep veins of the right upper extremity., A 45-year-old male patient with a history of recurrent superficial thrombophlebitis experiences a new onset of deep vein thrombosis in his left arm.He has significant arm swelling and pain., A 72-year-old patient who recently underwent a mastectomy develops a deep vein thrombosis in the affected arm. The patient presents with edema, pain, and discoloration of the arm.

Detailed patient history including risk factors (e.g., surgery, immobilization, malignancy, inherited clotting disorders), physical examination findings (e.g., edema, tenderness, warmth, discoloration), imaging studies (e.g., ultrasound, venography), laboratory results (e.g., coagulation studies), and treatment plan.

** This code should not be used for acute deep vein thrombosis of the upper extremity.For those cases, I82.4 would be more appropriate. Always consider using additional codes to capture co-morbidities or other relevant clinical findings.

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