I82.290
BillableAcute embolism and thrombosis of other thoracic veins
HCC Category Mapping
V28HCC 267 — Vascular Disease
0.356V24HCC 108 — Vascular Disease
0.297ESRDHCC 108 — Vascular Disease
0.000RxHCCHCC 215 — Pulmonary Embolism and Other Vascular Disease
0.000What This Code Means
A sudden blood clot in other major veins of the chest area, such as the brachiocephalic or azygos veins.
Coding Tips
- •Specify which thoracic vein is affected when documentation permits greater specificity
- •Document acute onset and any associated central venous catheters or thoracic procedures
Clinical Significance
Acute thrombosis of thoracic veins represents a significant vascular event often associated with central venous devices, thoracic surgery, or underlying malignancy. These patients require urgent anticoagulation and monitoring for potential extension to the superior vena cava or pulmonary embolism. Proper coding ensures accurate risk stratification reflecting the complexity of care required.
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
- ✓Documentation of acute onset with date of symptom onset or diagnosis establishing the acute nature
- ✓Documentation of any associated central venous devices, malignancy, or precipitating factors
Commonly Confused Codes
I82.210/I82.211 — Superior vena cava thrombosis; SVC has its own specific codes and should not use 'other thoracic veins'I82.220/I82.221 — Inferior vena cava thrombosis; IVC is not a thoracic veinI82.B1x/I82.B2x — Subclavian vein thrombosis; has separate specific codesI80.8 — Phlebitis of other sites; use for thrombophlebitis rather than thrombosis/embolismI82.291 — Chronic thoracic vein thrombosis; verify acuity