I82.5Y3

Billable

Chronic embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral

HCC Category Mapping

V28HCC 267 — Vascular Disease

0.356

V24HCC 108 — Vascular Disease

0.297

ESRDHCC 108 — Vascular Disease

0.000

RxHCCHCC 215 — Pulmonary Embolism and Other Vascular Disease

0.000

What This Code Means

A chronic blood clot affecting the deep veins of the upper thigh or hip area on both sides of the body.

Coding Tips

•The '3' suffix indicates bilateral involvement; confirm documentation specifies clots on both legs
•This is a more severe presentation than unilateral thrombosis; ensure both sides are documented

Clinical Significance

Chronic deep vein thrombosis of the proximal lower extremity (unspecified) indicates a long-standing thrombus that has organized within the venous system, often leading to post-thrombotic syndrome with chronic swelling, pain, and skin changes. This condition requires ongoing anticoagulation management and monitoring for recurrent thromboembolism and venous insufficiency. Accurate capture of chronic deep vein thrombosis is essential for risk adjustment as it reflects persistent vascular disease burden.

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
✓Query provider for specific vein location when possible
✓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

I82.5Y- includes femoral, iliac, and popliteal veins collectively; if a specific vein is documented, use I82.51-, I82.52-, or I82.53- instead I82.5Z- — Chronic embolism of unspecified deep veins of distal lower extremity; proximal refers to above the knee, distal refers to below the knee I82.50- — Chronic embolism of unspecified deep veins of lower extremity (neither proximal nor distal specified)

Code Hierarchy

└I82Other venous embolism and thrombosis └I82.5Chronic embolism and thrombosis of deep veins of lower extremity └I82.5YChronic embolism and thrombosis of unspecified deep veins of proximal lower extremity └I82.5Y3Chronic embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral

└I82.5Y3Chronic embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral