I82.42
Acute embolism and thrombosis of iliac vein
Clinical Classification Guidelines
Inclusion Terms
- Acute embolism and thrombosis of common iliac vein
- Acute embolism and thrombosis of external iliac vein
- Acute embolism and thrombosis of internal iliac vein
Medical Intelligence & Overview
The ICD-10 code I82.42 refers to acute embolism and thrombosis affecting the iliac veins, including the common, external, and internal iliac veins. This condition involves the sudden blockage of these deep veins in the pelvis and thigh area due to blood clots. Such blockages can impair blood flow, potentially leading to serious complications if not diagnosed and managed promptly.
Causes & Symptoms
Clinical Causes: Deep vein thrombosis (DVT) originating in the leg or pelvis Prolonged immobility or bed rest Injury or trauma to the pelvis or lower limbs Certain surgeries, especially in the pelvic or leg regions Cancer or malignancies which increase clotting risks Hormonal factors, including hormone replacement therapy or contraceptives Inherited clotting disorders Obesity and smoking which contribute to blood clot formation Infections or inflammatory conditions affecting blood vessels
Key Symptoms: Sudden onset of leg pain or swelling, particularly in the groin or thigh Warmth and redness over the affected area Discoloration of the skin, often bluish or reddish Feeling of heaviness or pressure in the leg Fever and malaise in some cases Symptoms of pulmonary embolism, such as shortness of breath, chest pain, or rapid heartbeat, if the clot dislodges and travels to the lungs
Diagnostic & Treatment
Diagnosis Path: Diagnosing an iliac vein thrombosis typically involves a combination of clinical assessment and imaging studies. Healthcare providers may recommend the following procedures:
Treatment Protocols: Anticoagulant medications (blood thinners) to prevent clot growth and new clot formation Thrombolytic therapy in severe cases where clot dissolution is necessary Compression stockings to improve blood flow and reduce swelling Surgical intervention or catheter-directed procedures to remove or break up the clot, especially in emergency situations Addressing underlying risk factors, such as managing cancer, hormonal imbalances, or lifestyle modifications Monitoring and follow-up to prevent recurrence and manage complications
Clinical Advice & FAQs
Billing Guidance
Is I82.42 a billable ICD-10 code?
Yes, I82.42 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report I82.42?
Clinical documentation must specify the nature of Acute embolism and thrombosis of iliac vein and any associated comorbidities for accurate reporting.
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