ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I82.591

Billable / Specific HCC v28: 108 CC

Chronic embolism and thrombosis of other specified deep vein of right lower extremity

I82
Block
0
Synonyms
105
LCDs
10
Payer Policies
0
Linked CPTs

About ICD-10-CM I82.591

ICD-10-CM code I82.591 represents Chronic embolism and thrombosis of other specified deep vein of right lower extremity. This is a billable/specific code in the Circulatory System chapter (block I82). The 2026 edition of ICD-10-CM I82.591 became effective on October 1, 2025.

Coding Tips for I82.591

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

I82.591 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.

Inpatient DRG impact: CC

I82.591 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC 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

CMS-HCC v28 (current)
Category 108
ESRD-HCC
Category 108
RxHCC (Part D)
Category 108

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Inpatient DRG Impact, CC

codes Chronic embolism and thrombosis of other specified deep vein of right lower extremity. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for I82.591

Local Coverage Determinations (LCDs) from CMS MACs that list I82.591 as a covered diagnosis.

105 LCDs

Showing top 10 of 105 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60271, Effective: , 98 covered, 0 non-covered
CPT 81241 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60271, Effective: , 98 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60271, Effective: , 98 covered, 0 non-covered
CPT 81240 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60307, Effective: , 98 covered, 0 non-covered
CPT 81241 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60307, Effective: , 98 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60307, Effective: , 98 covered, 0 non-covered
CPT 81240 →
CMS LCD: Billing and Coding: Peripheral Venous Ultrasound
Article ID: 52993, Effective: 2024-10-01 00:00:00, 300 covered, 1 non-covered
CPT 93971 →
CMS LCD: Billing and Coding: Peripheral Venous Ultrasound
Article ID: 52993, Effective: 2024-10-01 00:00:00, 300 covered, 1 non-covered
CPT 93970 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93924 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93925 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I82.591.

10 policies

5 Medicare

Billing and Coding: Peripheral Venous Ultrasound
Policy ID: ART-52993
Billing and Coding: Biomarkers Overview
Policy ID: ART-56541
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56758
Billing and Coding: Peripheral Venous Ultrasound
Policy ID: ART-57125
Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
Policy ID: ART-57594

CPT Codes Commonly Billed with I82.591

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for I82.591

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.

Convert I82.591 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I82.591 45350 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To I82.591

Other codes in section I80-I89 (Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified).

I80 Phlebitis and thrombophlebitis (non-billable) I80.0 Phlebitis and thrombophlebitis of superficial vessels of lower extremities (non-billable) I80.00 Phlebitis and thrombophlebitis of superficial vessels of unspecified lower extremity I80.01 Phlebitis and thrombophlebitis of superficial vessels of right lower extremity I80.02 Phlebitis and thrombophlebitis of superficial vessels of left lower extremity I80.03 Phlebitis and thrombophlebitis of superficial vessels of lower extremities, bilateral I80.1 Phlebitis and thrombophlebitis of femoral vein (non-billable) I80.10 Phlebitis and thrombophlebitis of unspecified femoral vein I80.11 Phlebitis and thrombophlebitis of right femoral vein I80.12 Phlebitis and thrombophlebitis of left femoral vein I80.13 Phlebitis and thrombophlebitis of femoral vein, bilateral I80.2 Phlebitis and thrombophlebitis of other and unspecified deep vessels of lower extremities (non-billable) I80.20 Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities (non-billable) I80.201 Phlebitis and thrombophlebitis of unspecified deep vessels of right lower extremity I80.202 Phlebitis and thrombophlebitis of unspecified deep vessels of left lower extremity I80.203 Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities, bilateral I80.209 Phlebitis and thrombophlebitis of unspecified deep vessels of unspecified lower extremity I80.21 Phlebitis and thrombophlebitis of iliac vein (non-billable) I80.211 Phlebitis and thrombophlebitis of right iliac vein I80.212 Phlebitis and thrombophlebitis of left iliac vein

ICD-10 I82.591, Billing FAQ

Is ICD-10 code I82.591 billable? +

Yes, I82.591 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does I82.591 affect Medicare Advantage HCC risk adjustment? +

Yes. I82.591 maps to CMS-HCC v28 category 108. Capture this diagnosis annually for accurate Medicare Advantage risk score.

Is I82.591 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What ICD-9 codes does I82.591 map to? +

Per CMS GEMs, I82.591 maps to ICD-9 codes: 45350. 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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