I80.223 ICD-10-CM Code: Phlebitis and thrombophlebitis of popliteal vein, bilateral
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 299 — PERIPHERAL VASCULAR DISORDERS WITH MCC (MDC 05)
- MS-DRG 300 — PERIPHERAL VASCULAR DISORDERS WITH CC (MDC 05)
- MS-DRG 301 — PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC (MDC 05)
- MS-DRG 791 — PREMATURITY WITH MAJOR PROBLEMS (MDC 15)
- MS-DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 267 — Deep Vein Thrombosis and Pulmonary Embolism
Other models: CMS-HCC V22 HCC 108 · RxHCC V08 HCC 215
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for I80.223 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- endophlebitis
- inflammation, vein
- periphlebitis
- suppurative phlebitis
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- venous embolism and thrombosis of lower extremities (I82.4-, I82.5-, I82.81-)
Code First
Underlying conditions that must be sequenced before this code.
- Code first, if applicable: phlebitis and thrombophlebitis complicating abortion, ectopic or molar pregnancy (O00-O07, O08.7)
- phlebitis and thrombophlebitis complicating pregnancy, childbirth and the puerperium (O22.-, O87.-)
Nearest Codes in This Family
Official ICD-10-CM classifications closest to I80.223 in its code family, with their registry titles.
- I80.213 — Phlebitis and thrombophlebitis of iliac vein, bilateral
- I80.219 — Phlebitis and thrombophlebitis of unspecified iliac vein
- I80.22 — Phlebitis and thrombophlebitis of popliteal vein
- I80.221 — Phlebitis and thrombophlebitis of right popliteal vein
- I80.222 — Phlebitis and thrombophlebitis of left popliteal vein
- I80.229 — Phlebitis and thrombophlebitis of unspecified popliteal vein
- I80.23 — Phlebitis and thrombophlebitis of tibial vein
- I80.231 — Phlebitis and thrombophlebitis of right tibial vein
- I80.232 — Phlebitis and thrombophlebitis of left tibial vein
- I80.233 — Phlebitis and thrombophlebitis of tibial vein, bilateral