ICD-10-CM Billable Code

I82.B11

Acute embolism and thrombosis of right subclavian vein

Clinical Classification Guidelines

Medical Intelligence & Overview

Acute embolism and thrombosis of the right subclavian vein is a condition where a blood clot (thrombus) forms or blocks the right subclavian vein, a major vessel that transports blood from the arm back to the heart. When a clot develops suddenly, it can cause significant discomfort, swelling, and other health concerns. Recognizing the signs and understanding the causes are vital steps in managing this condition effectively.

Causes & Symptoms

Clinical Causes: Virchow's triad factors, including blood flow disturbances, vessel wall injury, and blood hypercoagulability Injury or trauma to the subclavian vein from physical impact or medical procedures such as catheter placements Prolonged immobility or inactivity, leading to sluggish blood flow Cancer and certain malignancies that increase blood clotting tendencies Hormonal factors such as use of birth control pills or hormone replacement therapy Genetic clotting disorders that predispose individuals to abnormal blood clot formation Inflammatory or infectious processes involving blood vessels Repeated strain or overuse of the arm, especially in athletes or those performing repetitive activities

Key Symptoms: Sudden swelling in the affected arm, often accompanied by a feeling of heaviness or tightness Pain or tenderness that worsens with movement or touch Redness or discoloration of the skin over the affected area Warmth feeling in the arm or shoulder Visible surface veins that may appear swollen or engorged Limited movement or weakness in the arm In severe cases, symptoms related to pulmonary embolism such as shortness of breath, chest pain, or rapid heartbeat may occur if a clot dislodges and travels to the lungs

Diagnostic & Treatment

Diagnosis Path: Diagnosis begins with a detailed medical history and physical examination focused on the arm and shoulder. Imaging studies are key and may include:

Treatment Protocols: Treatment strategies focus on dissolving the existing clot, preventing new clots, and addressing underlying causes. Approaches 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.B11 a billable ICD-10 code?
Yes, I82.B11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I82.B11?
Clinical documentation must specify the nature of Acute embolism and thrombosis of right subclavian vein and any associated comorbidities for accurate reporting.

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