I82.B22

HCC Category Mapping

What This Code Means

A blood clot that has formed and persists in the left subclavian vein (a major vein near the collarbone), potentially blocking blood flow.

Coding Tips

• •Confirm documentation explicitly states 'chronic' and 'left' to ensure accurate laterality coding
• •Differentiate from acute subclavian vein thrombosis which uses different code series

Clinical Significance

Chronic subclavian vein thrombosis indicates a long-standing vascular condition with persistent clot burden, reflecting ongoing risk for post-thrombotic syndrome, recurrent thromboembolism, and venous insufficiency. This diagnosis captures the sustained complexity of the patient's vascular disease and the need for long-term anticoagulation management, which is important for accurate risk adjustment.

Documentation Requirements

• ✓Provider documentation explicitly stating chronic embolism or thrombosis of the subclavian vein
• ✓Laterality must be documented (left side) — do not assume from context
• ✓Clinical findings supporting the diagnosis (e.g., swelling, pain, imaging results such as duplex ultrasound or CT venography)
• ✓Current treatment plan including anticoagulation therapy type, duration, and monitoring parameters
• ✓Duration or timeline establishing chronicity (e.g., 'long-standing,' 'diagnosed 6 months ago')
• ✓Evidence of ongoing monitoring or follow-up imaging confirming persistent thrombus

Commonly Confused Codes