ICD-10 I82.0
Billable / Specific HCC v28: 108 MCCBudd-Chiari syndrome
About ICD-10-CM I82.0
ICD-10-CM code I82.0 represents Budd-Chiari syndrome. This is a billable/specific code in the Circulatory System chapter (block I82). The 2026 edition of ICD-10-CM I82.0 became effective on October 1, 2025.
Coding Tips for I82.0
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
I82.0 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.
I82.0 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under I82.0. Per CMS ICD-10-CM Tabular 2026.
- Hepatic vein thrombosis
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.
Inpatient DRG Impact, MCC
codes Budd-Chiari syndrome. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.
Medicare LCD Coverage for I82.0
Local Coverage Determinations (LCDs) from CMS MACs that list I82.0 as a covered diagnosis.
Showing top 10 of 181 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing I82.0.
5 Aetna
5 Medicare
CPT Codes Commonly Billed with I82.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 81240 CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia CMS LCD
- 81241 CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia CMS LCD
- 37238 CMS LCD: Billing and Coding: Endovenous Stenting CMS LCD
- 37239 CMS LCD: Billing and Coding: Endovenous Stenting CMS LCD
- 37183 CMS LCD: Billing and Coding: Endovenous Stenting CMS LCD
- 37182 CMS LCD: Billing and Coding: Endovenous Stenting CMS LCD
- 81490 CMS LCD: Billing and Coding: Biomarkers Overview CMS LCD
Convert I82.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| I82.0 | 4530 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To I82.0
Other codes in section I80-I89 (Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified).
ICD-10 I82.0, Billing FAQ
Is ICD-10 code I82.0 billable? +
Yes, I82.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to I82.0? +
ICD-10 I82.0 includes: Hepatic vein thrombosis.
Does I82.0 affect Medicare Advantage HCC risk adjustment? +
Yes. I82.0 maps to CMS-HCC v28 category 108. Capture this diagnosis annually for accurate Medicare Advantage risk score.
Is I82.0 a CC or MCC for inpatient DRG? +
Yes, this code is designated as MCC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with I82.0? +
Procedures frequently paired with I82.0 include: 81240, 81241, 37238, 37239, 37183.
What ICD-9 codes does I82.0 map to? +
Per CMS GEMs, I82.0 maps to ICD-9 codes: 4530. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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