What is ICD-10 code I82.553?

I82.553 is the ICD-10-CM diagnosis code for Chronic embolism and thrombosis of peroneal vein, bilateral. A blood clot that has formed and persists in both peroneal veins (veins in the lower legs on both sides). I82.553 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. I82.553 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. I82.553 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. I82.553 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.

Which HCC does I82.553 map to under V28?

I82.553 maps to CMS-HCC V28 HCC 267 (Deep Vein Thrombosis and Pulmonary Embolism). The category numbers, labels, and conditions come from the CMS-HCC V28 model file for payment year 2026.

What documentation supports I82.553?

The '3' in the fifth position indicates bilateral involvement; confirm documentation supports thrombosis in both peroneal veins. Bilateral peroneal vein thrombosis is uncommon; ensure documentation is clear before assigning this code. Because I82.553 maps to an HCC category, the documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment. See the MEAT criteria checklist at /meat-criteria for what Monitor, Evaluate, Assess, or Treat looks like in a note. MEAT is generic documentation evidence, not a payer-specific rule.

2026 ICD-10-CM I82.553: Chronic embolism

I82.553 maps to CMS-HCC V28 267. A source-labeled RAF reference is available. Documentation must support MEAT. MEAT criteria · RAF Calculator · HCC coding software

ICD-10-CM Code View

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Code lookupI82.553Effective 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)

I82.553

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

Chronic embolism and thrombosis of peroneal vein, bilateral

A blood clot that has formed and persists in both peroneal veins (veins in the lower legs on both sides).

Buddy Insight

Chronic peroneal (fibular) vein thrombosis is a distal deep vein thrombosis that indicates a persistent clot in one of the paired veins running alongside the fibula.

CMS-HCC V28

Mapped

HCC 267

Deep Vein Thrombosis and Pulm...

Code-level coefficient reference

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Mapped

HCC 156

HHS-HCC 156 adult, RAF varies...

Code-level coefficient reference

ESRD/PACE

Mapped

HCC 108

Vascular Disease

Code-level coefficient reference

RXHCC

Mapped

HCC 215

Venous Thromboembolism

Code-level coefficient reference

Code Book Path

Official

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

I82.55Chronic embolism and thrombosis of peroneal vein

I82.553Chronic embolism and thrombosis of peroneal vein, bilateral

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I82.553 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I82.553 in this effective period.

Related Child Codes

Official

I82.551Chronic embolism and thrombosis of right peroneal vein

I82.552Chronic embolism and thrombosis of left peroneal vein

I82.559Chronic embolism and thrombosis of unspecified peroneal vein

Includes

Official

ICD-10-CM does not list Includes notes for I82.553 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for I82.553 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I82.553 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I82.553 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I82.553 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., peroneal)

Documentation confirming bilateral involvement (both extremities affected)

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., peroneal)

Documentation confirming bilateral involvement (both extremities affected)

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 bilateral code when only one side is confirmed; documentation must clearly state involvement of both extremities

Coding to an unspecified deep vein when the peroneal 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

I82.453 — Acute embolism and thrombosis of peroneal vein; ensure documentation supports chronic rather than acute

I82.54- — Chronic embolism and thrombosis of tibial vein; the tibial and peroneal veins are separate paired calf veins

I82.56- — Chronic embolism and thrombosis of calf muscular vein; calf muscular veins (soleal, gastrocnemius) are distinct from the peroneal vein

I82.5Z- — Chronic embolism of unspecified deep veins of distal lower extremity; use peroneal-specific code when documentation specifies the peroneal 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 I82.553 an HCC code?

Yes. I82.553 (Chronic embolism and thrombosis of peroneal vein, bilateral) maps to HCC 267, Deep Vein Thrombosis and Pulmonary Embolism under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.294. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: I82.553 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: I82.553
Description: Chronic embolism and thrombosis of peroneal vein, bilateral
HCC (V28): HCC 267 — Deep Vein Thrombosis and Pulmonary Embolism
RAF reference coefficient: 0.294
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 267, Deep Vein Thrombosis and Pulmonary Embolism

0.294

ESRDHCC 108, Vascular Disease

Not separately weighted

RxHCCHCC 215, Venous Thromboembolism

Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. 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 context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work I82.553 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT Criteria for I82.553

For I82.553 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 I82.553 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

I82.553 is the ICD-10-CM diagnosis code for chronic embolism and thrombosis of peroneal vein, bilateral. A blood clot that has formed and persists in both peroneal veins (veins in the lower legs on both sides). I82.553 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, I82.553 maps to Deep Vein Thrombosis and Pulmonary Embolism (HCC 267) with a source-labeled community, non-dual, aged reference coefficient of 0.294. No V24 mapping is shown for I82.553; use the applicable model and payment year when reviewing the V28 mapping. 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. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

The '3' in the fifth position indicates bilateral involvement; confirm documentation supports thrombosis in both peroneal veins. Because I82.553 maps to an HCC category, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment. 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, source-labeled coefficient references, and MEAT documentation criteria for I82.553 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•The '3' in the fifth position indicates bilateral involvement; confirm documentation supports thrombosis in both peroneal veins.
•Bilateral peroneal vein thrombosis is uncommon; ensure documentation is clear before assigning this code.

Clinical Significance

Chronic peroneal (fibular) vein thrombosis is a distal deep vein thrombosis that indicates a persistent clot in one of the paired veins running alongside the fibula. While peroneal vein thrombosis is a distal deep vein thrombosis, it can propagate to the popliteal vein and cause clinically significant post-thrombotic changes. Capturing this diagnosis accurately supports appropriate risk adjustment and reflects the patient's ongoing vascular disease management needs.

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., peroneal)
✓Documentation confirming bilateral involvement (both extremities affected)
✓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

•I82.453: Acute embolism and thrombosis of peroneal vein; ensure documentation supports chronic rather than acute
•I82.54-: Chronic embolism and thrombosis of tibial vein; the tibial and peroneal veins are separate paired calf veins
•I82.56-: Chronic embolism and thrombosis of calf muscular vein; calf muscular veins (soleal, gastrocnemius) are distinct from the peroneal vein
•I82.5Z-: Chronic embolism of unspecified deep veins of distal lower extremity; use peroneal-specific code when documentation specifies the peroneal vein