I80.213

Billable

Phlebitis and thrombophlebitis of iliac vein, bilateral

HCC Category Mapping

V28HCC 267 — Vascular Disease

0.356

V24HCC 108 — Vascular Disease

0.297

ESRDHCC 108 — Vascular Disease

0.000

RxHCCHCC 215 — Pulmonary Embolism and Other Vascular Disease

0.000

What This Code Means

This condition involves inflammation and blood clot formation in both iliac veins (large veins in the pelvis that carry blood from the legs). It's a serious vascular condition that affects both sides of the body.

Coding Tips

•The 'bilateral' designation (code ending in 3) is critical—verify documentation confirms involvement of both iliac veins before assigning this code; unilateral cases require different codes (I80.211 for right, I80.212 for left)
•Distinguish between phlebitis (inflammation only) and thrombophlebitis (inflammation with clot); documentation must support the thrombophlebitis component to justify this code rather than I80.203

Clinical Significance

Phlebitis and thrombophlebitis of the bilateral iliac vein represents proximal deep vein thrombosis in one of the largest deep veins, carrying high risk for significant pulmonary embolism. Iliac vein thrombosis often involves more extensive clot burden than distal deep vein thrombosis and may be associated with May-Thurner syndrome or pelvic pathology. This represents a high-acuity vascular condition requiring aggressive anticoagulation and potential interventional radiology involvement.

Documentation Requirements

✓Imaging confirmation (CT venography, magnetic resonance venography, or duplex ultrasound with iliac visualization)
✓Laterality — bilateral iliac vein documented
✓Assessment for May-Thurner syndrome or external compression
✓Evaluation for concurrent pulmonary embolism
✓Anticoagulation plan and consideration for catheter-directed thrombolysis or inferior vena cava filter
✓Underlying risk factors including pelvic malignancy, recent surgery, or thrombophilia
✓Acuity — acute vs. chronic with any post-thrombotic changes

Commonly Confused Codes

I80.10-I80.13 — Femoral vein thrombophlebitis: different, more distal vein I82.42x — Acute embolism and thrombosis of iliac vein: verify correct code series for the clinical context I80.20x — Unspecified deep vessels: less specific; use I80.21x when iliac vein is documented I87.1 — Compression of vein: use for external compression without thrombosis

Code Hierarchy

└I80Phlebitis and thrombophlebitis └I80.2Phlebitis and thrombophlebitis of other and unspecified deep vessels of lower extremities └I80.21Phlebitis and thrombophlebitis of iliac vein └I80.213Phlebitis and thrombophlebitis of iliac vein, bilateral

└I80.213Phlebitis and thrombophlebitis of iliac vein, bilateral