ICD-10-CM Billable Code

I80.211

Phlebitis and thrombophlebitis of right iliac vein

Clinical Classification Guidelines

Medical Intelligence & Overview

Phlebitis and thrombophlebitis of the right iliac vein refer to inflammation and blood clot formation within this deep vein located in the right pelvis. These conditions can impede blood flow, potentially leading to serious complications if not detected and managed appropriately. The right iliac vein drains blood from the lower limbs and pelvis back toward the heart. When inflammation or a clot forms in this vein, it can cause pain, swelling, and other symptoms, necessitating prompt medical evaluation and treatment.

Causes & Symptoms

Clinical Causes: Deep vein thrombosis (DVT), often due to blood clot formation Injury or trauma to the pelvic or leg veins Prolonged immobilization or inactivity, such as long bed rest or travel Hormonal factors, including pregnancy and estrogen therapy Inherited clotting disorders that increase blood clot risk Cancer or malignancies which can increase clot formation tendency Infections within the pelvis or surrounding tissues Obesity, which increases venous pressure and strain Chronic venous insufficiency leading to venous stasis

Key Symptoms: Pain or tenderness in the groin or pelvic area, often worsening when standing or walking Swelling of the affected leg or pelvis Warmth and redness over the affected area A feeling of heaviness or fullness in the groin Possible discoloration or skin changes over the thigh or pelvis Fever in some cases, indicating infection or inflammation

Diagnostic & Treatment

Diagnosis Path: Ultrasound Doppler studies to visualize blood flow and detect clots Venography, an imaging test involving contrast dye to view the veins Blood tests such as D-dimer to identify clot presence or breakdown products Magnetic resonance imaging (MRI) or computed tomography (CT) scans for detailed assessment

Treatment Protocols: Anticoagulant medications (blood thinners) to prevent clot growth and new clot formation Pain management with nonsteroidal anti-inflammatory drugs (NSAIDs) Compression therapies to support circulation and reduce swelling Elevation of the affected limb to decrease venous pressure Addressing underlying causes such as hormonal therapy or managing malignancies In some cases, thrombolytic therapy or surgical intervention may be necessary to remove or dissolve clots Lifestyle modifications, including regular movement and avoiding prolonged immobility

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 I80.211 a billable ICD-10 code?
Yes, I80.211 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I80.211?
Clinical documentation must specify the nature of Phlebitis and thrombophlebitis of right iliac vein and any associated comorbidities for accurate reporting.

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