I82.623
BillableAcute embolism and thrombosis of deep veins of upper extremity, 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
Blood clots that suddenly form in the deep veins of both arms at the same time.
Coding Tips
- •Verify bilateral deep vein thrombosis is explicitly documented
- •Confirm acute presentation in both upper extremities before coding
Clinical Significance
Acute deep vein thrombosis of the upper extremity is a significant vascular event that carries risk of pulmonary embolism and requires immediate anticoagulation therapy. Upper extremity deep vein thrombosis is increasingly recognized, often associated with central venous catheters, pacemaker leads, or thoracic outlet syndrome. This diagnosis captures important vascular disease burden for risk adjustment and signals the need for ongoing monitoring and treatment.
Documentation Requirements
- ✓Provider documentation explicitly stating 'acute' 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., upper extremity)
- ✓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 any predisposing factors such as central venous catheter, pacemaker, or thoracic outlet syndrome
Commonly Confused Codes
I82.723 — Chronic version of upper extremity deep vein thrombosis; ensure documentation supports acute rather than chronic presentationI82.A1- — Acute embolism and thrombosis of axillary vein; use the axillary-specific code when that vein is specifically documentedI82.B1- — Acute embolism and thrombosis of subclavian vein; use the subclavian-specific code when that vein is documentedI80.8 — Phlebitis and thrombophlebitis of other sites; this is for venous inflammation with thrombosis, not thromboembolism alone