I80.11
BillablePhlebitis and thrombophlebitis of right femoral vein
HCC Category Mapping
What This Code Means
This code describes inflammation of the right thigh vein (femoral vein) with blood clot formation. It's a serious condition where the vein becomes swollen, painful, and may have a clot that could potentially travel to the lungs.
Coding Tips
- •Verify laterality is documented as right femoral vein; if bilateral or left side, use different codes (I80.12 for left, I80.13 for bilateral)
- •Confirm whether this is superficial or deep vein thrombophlebitis, as deep vein thrombosis (DVT) may require additional coding with I82.90x codes for more specificity
Clinical Significance
Phlebitis and thrombophlebitis of the right femoral vein represents deep vein thrombosis in a proximal lower extremity vein, which carries significant risk for pulmonary embolism. The femoral vein is a major deep vein, and thrombosis here is considered a high-risk deep vein thrombosis requiring anticoagulation therapy. This condition reflects acute vascular disease burden and ongoing management needs for risk adjustment.
Documentation Requirements
- ✓Duplex ultrasound or other imaging confirming femoral vein thrombosis
- ✓Laterality documentation — right side confirmed
- ✓Distinction between acute, subacute, and chronic thrombosis
- ✓Assessment for concurrent pulmonary embolism
- ✓Anticoagulation therapy plan with specific agent, dose, and duration
- ✓Evaluation of underlying risk factors (immobility, malignancy, thrombophilia, surgery)
- ✓Follow-up imaging plan if applicable