I82.723 ICD-10-CM Code: Chronic embolism and thrombosis of deep veins of upper extremity, bilateral

Code

I82.723

Description

Chronic embolism and thrombosis of deep veins of upper extremity, bilateral

HCC (V28)

HCC 267 — Deep Vein Thrombosis and Pulmonary Embolism

RAF reference coefficient

0.294

Billable

Yes

Payment year

2026

HCC Category Mapping

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 I82.723 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for I82.723

What This Code Means

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for I82.723 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

• •The '3' suffix indicates bilateral deep vein involvement; this is a serious condition requiring clear documentation
• •Confirm both arms have documented deep vein thrombosis before assigning this code

Clinical Significance

Chronic deep vein thrombosis of the upper extremity indicates a persistent thrombus that has organized and may cause post-thrombotic syndrome with chronic arm swelling, pain, and functional limitation. This condition requires long-term anticoagulation management and monitoring for complications including recurrent thromboembolism. Accurate capture of chronic upper extremity deep vein thrombosis is important for risk adjustment as it reflects ongoing 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
• ✓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 chronicity such as 'chronic,' 'old,' 'long-standing,' or history of prior acute deep vein thrombosis that has transitioned to chronic status
• ✓Documentation of any predisposing factors such as central venous catheter, pacemaker, or thoracic outlet syndrome

Commonly Confused Codes

• •I82.623: Acute version of upper extremity deep vein thrombosis; use chronic code only when the condition is long-standing
• •I82.A2-: Chronic embolism and thrombosis of axillary vein; use axillary-specific code when that vein is documented
• •I82.B2-: Chronic embolism and thrombosis of subclavian vein; use subclavian-specific code when that vein is documented
• •I87.01-: Postthrombotic syndrome; a separate sequela condition that may coexist with chronic deep vein thrombosis but is coded additionally

Child Codes