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

ICD-10 I82.91

Billable / Specific CC

Chronic embolism and thrombosis of unspecified vein

I82
Block
0
Synonyms
134
LCDs
12
Payer Policies
0
Linked CPTs

About ICD-10-CM I82.91

ICD-10-CM code I82.91 represents Chronic embolism and thrombosis of unspecified vein. This is a billable/specific code in the Circulatory System chapter (block I82). The 2026 edition of ICD-10-CM I82.91 became effective on October 1, 2025.

Coding Tips for I82.91

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

Inpatient DRG impact: CC

I82.91 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.

Inpatient DRG Impact, CC

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

Medicare LCD Coverage for I82.91

Local Coverage Determinations (LCDs) from CMS MACs that list I82.91 as a covered diagnosis.

134 LCDs

Showing top 10 of 134 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: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88189 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86360 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86361 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88187 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I82.91.

12 policies

5 Medicare

Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-55717
Billing and Coding: Flow Cytometry
Policy ID: ART-56464
Billing and Coding: Biomarkers Overview
Policy ID: ART-56541
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56697
Billing and Coding: Routine Foot Care and Debridement of Nails
Policy ID: ART-57193

2 Aetna

Low-Molecular-Weight Heparins and Thrombin Inhibitors
Policy ID: CPB-0346
Intestinal Transplantation
Policy ID: CPB-0605

CPT Codes Commonly Billed with I82.91

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

No procedure linkages on file for I82.91

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 I82.91 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I82.91 45379 10000

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

Codes Adjacent To I82.91

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 I82.91, Billing FAQ

Is ICD-10 code I82.91 billable? +

Yes, I82.91 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is I82.91 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 I82.91 map to? +

Per CMS GEMs, I82.91 maps to ICD-9 codes: 45379. 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 July 16, 2026.

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