ICD-10-CM Billable Code

I82.542

Chronic embolism and thrombosis of left tibial vein

Clinical Classification Guidelines

Medical Intelligence & Overview

Chronic embolism and thrombosis of the left tibial vein is a condition characterized by the persistent presence of clots and obstructed blood flow in the vein located in the lower leg, specifically the tibial vein on the left side. This condition is a form of venous disease that can lead to complications if not properly managed. Recognizing its features and understanding its causes and symptoms are important steps in managing health effectively.

Causes & Symptoms

Clinical Causes: Deep vein thrombosis (DVT) due to blood clot formation in the deep veins of the leg Chronic venous insufficiency resulting from previous clotting episodes that damage vein valves Prolonged immobility, such as long periods of bed rest or travel Injury to the lower leg or veins Inherited clotting disorders that increase blood's tendency to clot Obesity, which puts extra pressure on leg veins Hormonal medications, including birth control pills and hormone replacement therapy Advanced age, increasing the risk of blood clots

Key Symptoms: Swelling in the affected leg, often persistent or worsening A feeling of heaviness or fullness in the calf or leg Pain or tenderness in the lower leg, especially when standing or walking Skin changes over the affected area, including redness, warmth, or discoloration Leg soreness that may worsen over time Visible veins or swelling that persists or recurs In some cases, no symptoms are present, making the condition harder to detect

Diagnostic & Treatment

Diagnosis Path: Doppler ultrasound: A non-invasive test that uses sound waves to assess blood flow and detect clots Venography: An X-ray imaging technique involving contrast dye to visualize veins D-dimer blood test: A blood test that detects abnormal blood clotting activity Physical examination assessing leg swelling, tenderness, and skin changes Assessment of medical history, including risk factors like previous clotting episodes or family history

Treatment Protocols: Anticoagulant medications: Blood thinners such as warfarin or direct oral anticoagulants to prevent new clot formation and reduce existing clots Compression stockings: Special hosiery designed to improve blood flow and reduce swelling Lifestyle modifications: Encouraging mobility, weight management, and smoking cessation Monitoring and follow-up: Regular medical evaluations to track the condition and adjust treatment plans In some cases, thrombolytic therapy or surgical intervention may be necessary to remove or dissolve persistent clots

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 I82.542 a billable ICD-10 code?
Yes, I82.542 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I82.542?
Clinical documentation must specify the nature of Chronic embolism and thrombosis of left tibial vein and any associated comorbidities for accurate reporting.

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