I82.469
I82.469: Acute embolism and thrombosis of unspecified calf muscular vein
Billable / specific codeICD-10-CM
I82.469 is a billable, specific ICD-10-CM code for acute embolism and thrombosis of unspecified calf muscular vein. It is valid for submission on a claim.
Check I82.469 with the rest of the claim: free scrubberExcludes2 inherited from the categories above I82.469
Not part of this code, but both may be coded when both are present.
Risk adjustment
I82.469 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
I82.469 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56675Billing and Coding: Homocysteine Level, Serum
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A57594Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
- A60255Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Code history
Unchanged in every release from FY2024 to FY2027.