ICD-10-CM Billable Code

I82.423

Acute embolism and thrombosis of iliac vein, bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

The diagnosis ICD-10 code I82.423 refers to acute embolism and thrombosis of both iliac veins, a serious vascular condition. This condition involves the formation of blood clots (thrombosis) or the lodging of clots (embolism) within the iliac veins, which are large veins located in the pelvis. When both sides are affected, it can significantly impede blood flow from the legs back to the heart, leading to potential complications if left untreated.

Causes & Symptoms

Clinical Causes: Prolonged inactivity or bed rest Blood clotting disorders Recent surgery or injury, especially in the pelvis or lower limbs Cancer and certain malignancies Obesity Pregnancy and hormonal therapies Chronic venous insufficiency Lifestyle factors such as smoking and high blood pressure Previous history of deep vein thrombosis (DVT)

Key Symptoms: Swelling in both legs or pelvic region Pain or tenderness in the pelvis or legs Skin discoloration, often redness or bluish hue Warmth in affected areas Feeling of heaviness or fatigue in the legs Possible signs of deep vein thrombosis, such as enlarged veins

Diagnostic & Treatment

Diagnosis Path: Healthcare providers use a combination of clinical evaluation and diagnostic tests to confirm this condition. These typically include:

Treatment Protocols: Managing bilateral iliac vein thrombosis involves early intervention to reduce the risk of complications. Treatment options may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is I82.423 a billable ICD-10 code?
Yes, I82.423 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I82.423?
Clinical documentation must specify the nature of Acute embolism and thrombosis of iliac vein, bilateral and any associated comorbidities for accurate reporting.

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