MCMCB Pro
I80.251

I80.251Phlebitis and thrombophlebitis of right calf muscular vein

Billable / specific codeICD-10-CMright

I80.251 is a billable, specific ICD-10-CM code for phlebitis and thrombophlebitis of right calf muscular vein. It is valid for submission on a claim.

Risk adjustment

I80.251 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.

Medicare coverage

I80.251 is named in 14 Medicare coverage policies 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52993Billing and Coding: Peripheral Venous Ultrasound
  • A52996Billing and Coding: Routine Foot Care
  • A56232Billing and Coding: Foot Care
  • A56680Billing and Coding: Routine Foot Care

Related codes at this level

Codes that share I80.25. If I80.251 is not quite right, the correct code is usually one of these.

Questions about I80.251

Is I80.251 a billable ICD-10-CM code?
Yes. I80.251 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I80.251 sit in the tabular list?
Diseases of the circulatory system (I00-I99), in the block Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.