I82.553
BillableChronic embolism and thrombosis of peroneal vein, bilateral
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 blood clot that has formed and persists in both peroneal veins (veins in the lower legs on both sides).
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 acuteI82.54- — Chronic embolism and thrombosis of tibial vein; the tibial and peroneal veins are separate paired calf veinsI82.56- — Chronic embolism and thrombosis of calf muscular vein; calf muscular veins (soleal, gastrocnemius) are distinct from the peroneal veinI82.5Z- — Chronic embolism of unspecified deep veins of distal lower extremity; use peroneal-specific code when documentation specifies the peroneal vein
Code Hierarchy
└I82Other venous embolism and thrombosis└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
└I82.553Chronic embolism and thrombosis of peroneal vein, bilateral