ICD-10 I80.251
Billable / Specific HCC v28: 108Phlebitis and thrombophlebitis of right calf muscular vein
About ICD-10-CM I80.251
ICD-10-CM code I80.251 represents Phlebitis and thrombophlebitis of right calf muscular vein. This is a billable/specific code in the Circulatory System chapter (block I80). The 2026 edition of ICD-10-CM I80.251 became effective on October 1, 2025.
Coding Tips for I80.251
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
I80.251 is a CMS-HCC v28 risk-adjustment code (category 108). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for I80.251
Local Coverage Determinations (LCDs) from CMS MACs that list I80.251 as a covered diagnosis.
Showing top 10 of 129 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing I80.251.
5 Medicare
CPT Codes Commonly Billed with I80.251
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To I80.251
Other codes in section I80-I89 (Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified).
ICD-10 I80.251, Billing FAQ
Is ICD-10 code I80.251 billable? +
Yes, I80.251 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Does I80.251 affect Medicare Advantage HCC risk adjustment? +
Yes. I80.251 maps to CMS-HCC v28 category 108. Capture this diagnosis annually for accurate Medicare Advantage risk score.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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