I80.203: Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities, bilateral

Risk adjustment

I80.203 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 267 Deep Vein Thrombosis and Pulmonary Embolism0.294 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

I80.203 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A52996Billing and Coding: Routine Foot Care
• A56232Billing and Coding: Foot Care
• A56680Billing and Coding: Routine Foot Care
• A56775Billing and Coding: Magnetic Resonance Angiography