ICD-10-CM Billable Code

I82.B13

Acute embolism and thrombosis of subclavian vein, bilateral

Clinical Classification Guidelines

Medical Intelligence & Overview

The condition described by ICD-10 code I82.B13 involves the sudden development of blood clots (thrombosis) and blockages (embolism) in both subclavian veins. These veins are large blood vessels located beneath each clavicle (collarbone) that carry blood from the arms back to the heart. When these veins are affected, it can lead to impaired blood flow, swelling, and other serious health issues. Recognizing this condition early is crucial for effective management and to prevent complications.

Causes & Symptoms

Clinical Causes: Extended periods of immobility, such as long flights or bed rest Injury or trauma to the shoulder or chest area Blood clotting disorders that increase the risk of clot formation Central venous catheters or pacemaker leads that irritate the vein walls Cancer, which can promote abnormal blood clotting Certain medications or hormonal therapies that increase clot risk Repeated trauma or strenuous activity involving the arms and shoulders

Key Symptoms: Swelling and a feeling of heaviness in both arms Pain or tenderness in the shoulder or neck regions Bluish discoloration of the skin on the arms Warmth and redness around the affected areas Restricted movement or discomfort during arm movement Visible veins may appear enlarged or prominent

Diagnostic & Treatment

Diagnosis Path: Doppler ultrasound to visualize blood flow in the veins Venography, an imaging technique that involves injecting dye into the veins Blood tests to identify clotting disorders or other underlying issues MRI or CT scans to assess the extent of the blockage and involvement of surrounding structures

Treatment Protocols: Anticoagulant medications (blood thinners) to prevent clot growth and new clot formation Thrombolytic therapy in severe cases to dissolve existing clots Compression therapy to facilitate blood flow and reduce swelling Addressing underlying causes, such as treating infections or modifying risk factors Surgical interventions may be necessary in refractory or complicated cases Monitoring and follow-up to assess response to treatment and prevent recurrence

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.B13 a billable ICD-10 code?
Yes, I82.B13 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I82.B13?
Clinical documentation must specify the nature of Acute embolism and thrombosis of subclavian vein, bilateral and any associated comorbidities for accurate reporting.

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