What is ICD-10 code I82.541?

I82.541 is the ICD-10-CM diagnosis code for Chronic embolism and thrombosis of right tibial vein. A blood clot that has formed and persists in the right tibial vein (vein in the lower leg on the right side). I82.541 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. I82.541 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. I82.541 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. I82.541 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

What is the V28 vs V24 difference for I82.541?

CMS phased in the V28 risk adjustment model over payment years 2024 (33%), 2025 (67%), and 2026 (100%), replacing V24. V28 consolidates HCC categories, removes some lower-acuity conditions, and recalibrates RAF weights across the entire model. For I82.541, V28 maps to Deep Vein Thrombosis and Pulmonary Embolism at RAF 0.294 while V24 mapped to Vascular Disease at RAF 0.288. Both models can still appear in legacy data and in payer-specific lookback periods.

What should coders know when reporting I82.541?

The '1' in the fifth position indicates right-sided involvement; ensure documentation specifies right tibial vein. Tibial vein thrombosis is a lower extremity deep vein thrombosis and should be documented with clear laterality. Because I82.541 maps to a payment HCC, the documentation must also satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's risk adjustment score.

2026 ICD-10-CM I82.541: Chronic embolism

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

Code lookupI82.541Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)

I82.541

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Chronic embolism and thrombosis of right tibial vein

A blood clot that has formed and persists in the right tibial vein (vein in the lower leg on the right side).

Buddy Insight

Chronic tibial vein thrombosis represents a persistent deep vein thrombosis in the distal lower extremity venous system.

CMS-HCC V28

Mapped

HCC 267

Deep Vein Thrombosis and Pulm...

RAF 0.294

CMS-HCC V24

Mapped

HCC 108

Vascular Disease

RAF 0.288

ACA/HHS

Mapped

HCC 156

HHS-HCC 156

Varies by metal level

ESRD/PACE

Mapped

HCC 108

Vascular Disease

RAF 0.073

RXHCC

Mapped

HCC 215

Pulmonary Embolism and Other ...

RAF 0.228

Code Book Path

Official

I82.5Chronic embolism and thrombosis of deep veins of lower extremity

I82.54Chronic embolism and thrombosis of tibial vein

I82.541Chronic embolism and thrombosis of right tibial vein

Inclusion Terms

Official

Chronic embolism and thrombosis of anterior tibial vein
Chronic embolism and thrombosis of posterior tibial vein

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I82.541 in this effective period.

Related Child Codes

Official

I82.542Chronic embolism and thrombosis of left tibial vein

I82.543Chronic embolism and thrombosis of tibial vein, bilateral

I82.549Chronic embolism and thrombosis of unspecified tibial vein

Includes

Official

ICD-10-CM does not list Includes notes for I82.541 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for I82.541 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I82.541 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I82.541 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I82.541 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance

Provider documentation explicitly stating 'chronic' deep vein thrombosis (not assumed from duration of treatment)

Clinical evidence supporting the diagnosis such as duplex ultrasound, venography, or other imaging results

Specific vein location documented (e.g., tibial)

Documentation confirming right-sided laterality

MEAT Support

HCC Buddy guidance

Provider documentation explicitly stating 'chronic' deep vein thrombosis (not assumed from duration of treatment)

Clinical evidence supporting the diagnosis such as duplex ultrasound, venography, or other imaging results

Specific vein location documented (e.g., tibial)

Documentation confirming right-sided laterality

Audit Caution

HCC Buddy guidance

Confusing acute and chronic deep vein thrombosis — these have different code families (I82.4- for acute lower extremity, I82.5- for chronic lower extremity) and the provider must explicitly document 'chronic'

Assigning unspecified laterality when documentation actually states right side; always check operative notes, imaging, and progress notes for laterality

Coding to an unspecified deep vein when the tibial vein is clearly documented — always review imaging and clinical notes for the specific vein involved

Assuming deep vein thrombosis is chronic solely because the patient has been on anticoagulation for a long time; the provider must explicitly document the condition as chronic

Common Mistakes

HCC Buddy guidance

I82.441 — Acute embolism and thrombosis of tibial vein; confirm documentation explicitly states chronic

I82.55- — Chronic embolism and thrombosis of peroneal vein; the peroneal vein runs parallel to the tibial but is a separate vessel

I82.53- — Chronic embolism and thrombosis of popliteal vein; the popliteal is more proximal than the tibial vein

I82.5Z- — Chronic embolism of unspecified deep veins of distal lower extremity; use the tibial-specific code when documentation specifies the tibial vein

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is I82.541 an HCC code?

Yes. I82.541 (Chronic embolism and thrombosis of right tibial vein) maps to Deep Vein Thrombosis and Pulmonary Embolism under the CMS-HCC V28 risk adjustment model (and Vascular Disease under V24), with a community non-dual aged RAF of 0.294. It is billable for payment year 2026.

Coder answer: I82.541 is billable and maps to V28 HCC 267, Deep Vein Thrombosis and Pulmonary Embolism. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code: I82.541
Description: Chronic embolism and thrombosis of right tibial vein
HCC (V28): HCC 267 — Deep Vein Thrombosis and Pulmonary Embolism
RAF: 0.294
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 267, Deep Vein Thrombosis and Pulmonary Embolism

0.294

V24HCC 108, Vascular Disease

0.288

ESRDHCC 108, Vascular Disease

0.073

RxHCCHCC 215, Pulmonary Embolism and Other Vascular Disease

0.228

Each model's RAF is its CMS base weight for that model's standard population, so weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.

Work I82.541 in the Code Book — tabular path, V28 RAF, and MEAT checklist →

MEAT Criteria for I82.541

For I82.541 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
EEvaluate: test results, medication response, or physical findings reviewed by the provider
AAssess: explicit mention in the assessment or plan with acknowledgment of status
TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed I82.541 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

I82.541 is the ICD-10-CM diagnosis code for chronic embolism and thrombosis of right tibial vein. A blood clot that has formed and persists in the right tibial vein (vein in the lower leg on the right side). I82.541 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (i80-i89).

Under the CMS-HCC V28 risk adjustment model, I82.541 maps to Deep Vein Thrombosis and Pulmonary Embolism (HCC 267) with a community, non-dual, aged base RAF weight of 0.294. Under the older CMS-HCC V24 model, I82.541 maps to Vascular Disease (HCC 108) with a community, non-dual, aged base RAF weight of 0.288. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.

The '1' in the fifth position indicates right-sided involvement; ensure documentation specifies right tibial vein. Because I82.541 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I82.541 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•The '1' in the fifth position indicates right-sided involvement; ensure documentation specifies right tibial vein.
•Tibial vein thrombosis is a lower extremity deep vein thrombosis and should be documented with clear laterality.

Clinical Significance

Chronic tibial vein thrombosis represents a persistent deep vein thrombosis in the distal lower extremity venous system. Although distal deep vein thrombosis has traditionally been considered lower risk than proximal deep vein thrombosis, chronic tibial vein thrombosis can cause significant post-thrombotic symptoms and may propagate proximally. This diagnosis is relevant for risk adjustment as it demonstrates ongoing vascular disease requiring continued monitoring and treatment.

Documentation Requirements

✓Provider documentation explicitly stating 'chronic' deep vein thrombosis (not assumed from duration of treatment)
✓Clinical evidence supporting the diagnosis such as duplex ultrasound, venography, or other imaging results
✓Specific vein location documented (e.g., tibial)
✓Documentation confirming right-sided laterality
✓Current treatment plan including anticoagulation therapy and duration
✓Assessment and monitoring notes demonstrating the condition is being actively managed
✓Documentation of chronicity such as 'chronic,' 'old,' 'long-standing,' or history of prior acute deep vein thrombosis that has transitioned to chronic status

Commonly Confused Codes

•I82.441: Acute embolism and thrombosis of tibial vein; confirm documentation explicitly states chronic
•I82.55-: Chronic embolism and thrombosis of peroneal vein; the peroneal vein runs parallel to the tibial but is a separate vessel
•I82.53-: Chronic embolism and thrombosis of popliteal vein; the popliteal is more proximal than the tibial vein
•I82.5Z-: Chronic embolism of unspecified deep veins of distal lower extremity; use the tibial-specific code when documentation specifies the tibial vein