ICD-10 I82.221
Billable / Specific HCC v28: 108 MCCChronic embolism and thrombosis of inferior vena cava
About ICD-10-CM I82.221
ICD-10-CM code I82.221 represents Chronic embolism and thrombosis of inferior vena cava. This is a billable/specific code in the Circulatory System chapter (block I82). The 2026 edition of ICD-10-CM I82.221 became effective on October 1, 2025.
Coding Tips for I82.221
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
I82.221 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.
I82.221 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.
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 Chronic embolism and thrombosis of inferior vena cava. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.
Medicare LCD Coverage for I82.221
Local Coverage Determinations (LCDs) from CMS MACs that list I82.221 as a covered diagnosis.
Showing top 10 of 283 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing I82.221.
3 Aetna
5 Medicare
CPT Codes Commonly Billed with I82.221
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 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 I82.221 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 |
|---|---|---|
| I82.221 | 4532 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To I82.221
Other codes in section I80-I89 (Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified).
ICD-10 I82.221, Billing FAQ
Is ICD-10 code I82.221 billable? +
Yes, I82.221 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Does I82.221 affect Medicare Advantage HCC risk adjustment? +
Yes. I82.221 maps to CMS-HCC v28 category 108. Capture this diagnosis annually for accurate Medicare Advantage risk score.
Is I82.221 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 I82.221? +
Procedures frequently paired with I82.221 include: 37238, 37239, 37183, 37182, 81490.
What ICD-9 codes does I82.221 map to? +
Per CMS GEMs, I82.221 maps to ICD-9 codes: 4532. 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 May 31, 2026.
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