I80.299
BillablePhlebitis and thrombophlebitis of other deep vessels of unspecified lower extremity
HCC Category Mapping
What This Code Means
Inflammation and blood clot formation in other deep veins of the lower leg when the specific side is not documented or identified.
Coding Tips
- •This unspecified code should be avoided; query provider for laterality documentation to assign more specific codes
- •Use only when documentation genuinely does not indicate which leg or when bilateral involvement is not specified
Clinical Significance
Deep vein thrombophlebitis of the lower extremity involves both inflammation and clot formation in the deep venous system, carrying risk of clot propagation and pulmonary embolism. This condition requires anticoagulation therapy and ongoing vascular monitoring, reflecting significant resource utilization. Accurate coding is essential for risk adjustment as it indicates chronic vascular disease burden requiring sustained medical management.
Documentation Requirements
- ✓Clinical diagnosis of venous thrombosis or thrombophlebitis clearly documented by the treating provider
- ✓Diagnostic confirmation via duplex ultrasonography, CT venography, MR venography, or venography with imaging findings described
- ✓Current treatment plan including anticoagulation regimen with specific medication, dose, and duration
- ✓Laterality documentation should be sought; if unavailable, document the reason laterality cannot be determined
- ✓Documentation distinguishing deep vein thrombophlebitis from superficial thrombophlebitis
- ✓Assessment of risk factors (immobility, recent surgery, malignancy, hypercoagulable state, oral contraceptive use)