I82.90 ICD-10-CM Code: Acute embolism and thrombosis of unspecified vein
Compare with another code for I82.90Check this code on a claim
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 2 inclusion terms · 9 Excludes2 · 3 code-first instructions
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.
- Code firstfrom I82Sequence the underlying condition before this code
- Excludes2from I82Not included here; may be reported together
- IncludesWhat this code covers
- Embolism of vein NOS
- Thrombosis (vein) NOS
Where it sits Source: CMS/NCHS
Under:Chapter 9: Diseases of the Circulatory SystemI80-I89 Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classifiedI82 Other venous embolism and thrombosisI82.9 Embolism and thrombosis of unspecified vein
Most relevant related codes MedCoder-derived
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, 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)
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.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I82.90 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on I82.90 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Embolism of vein NOS
- Thrombosis (vein) NOS
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- venous embolism and thrombosis (of):
- cerebral (I63.6, I67.6) Compare I82.90 vs I63.6 →
- coronary (I21-I25) Compare I82.90 vs I21 →
- intracranial and intraspinal, septic or NOS (G08) Compare I82.90 vs G08 →
- intracranial, nonpyogenic (I67.6) Compare I82.90 vs I67.6 →
- intraspinal, nonpyogenic (G95.1) Compare I82.90 vs G95.1 →
- mesenteric (K55.0-) Compare I82.90 vs K55.0 →
- portal (I81) Compare I82.90 vs I81 →
- pulmonary (I26.-) Compare I82.90 vs I26 →
Source: inherited from I82
Coder workflow for I82.90
MedCoder structured workflow — derived from this code’s own official record
Before you code I82.90
- Unspecified does not mean incorrect. When the record gives no greater specificity, I82.90 may be the appropriate code. No code beside it in this subcategory is more specific; when the record documents what the title leaves unspecified, look the documented term up in the Alphabetic Index, which may lead to a code outside this subcategory. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18, I.B.1).
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
Choose the right path
- Does the record document the detail this title leaves unspecified?
Yes → Look the documented term up in the Alphabetic Index; the code it leads to may sit outside this subcategory.
No → Continue — I82.90 is appropriate when the documentation goes no further. - Is the underlying (etiologic) condition the Code First note names documented?
Yes → Sequence the underlying condition first, then I82.90.
No → Continue; do not add an underlying condition the record does not document.
Consider I82.90. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Acuity
- Acute or chronic as documented; when both are documented and separate codes exist, both are reported with the acute code first (Guidelines I.B.8).
- The underlying (etiologic) condition
- Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).
- Any detail beyond this code’s title
- What the record states that a more specific code would capture — or its absence, which itself supports the unspecified code.
Official instructions as workflow
Excludes2 — not part of I82.90(9 notes)
Coding workflow: The conditions named in this note are not included in I82.90. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareI63.6, I67.6, G08, G95.1, K55.0, I81
See the official tabular notes · Guidelines I.A.12.b
Code First — sequencing check(3 notes)
Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before I82.90. Do not add an underlying condition the record does not document.
See the official tabular notes · Guidelines I.A.13
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.
Coding question: Is a more specific code supportable?
Path: No sibling in this subcategory is more specific; look the documented detail up in the Alphabetic Index.
Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).
Documentation: The underlying condition the Code First note names is documented alongside this condition.
Coding question: How are the two sequenced?
Path: Review the Code First note.
Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- CC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder-derived relationships — computed from published CMS and AHRQ datasets
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 201 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 299 (MDC 05), DRG 300 (MDC 05), DRG 301 (MDC 05).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):CIR033 — Acute phlebitis; thrombophlebitis and thromboembolism (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical process (MS-DRG)
Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
I82.721 — Chronic embolism and thrombosis of deep veins of right upper extremity, I82.722 — Chronic embolism and thrombosis of deep veins of left upper extremity, I82.723 — Chronic embolism and thrombosis of deep veins of upper extremity, bilateral, I82.729 — Chronic embolism and thrombosis of deep veins of unspecified upper extremity, I82.811 — Embolism and thrombosis of superficial veins of right lower extremity, I82.812 — Embolism and thrombosis of superficial veins of left lower extremity, I82.813 — Embolism and thrombosis of superficial veins of lower extremities, bilateral, I82.819 — Embolism and thrombosis of superficial veins of unspecified lower extremity, I82.890 — Acute embolism and thrombosis of other specified veins, I82.891 — Chronic embolism and thrombosis of other specified veins, I82.91 — Chronic embolism and thrombosis of unspecified vein, I82.A11 — Acute embolism and thrombosis of right axillary vein, I82.A12 — Acute embolism and thrombosis of left axillary vein, I82.A13 — Acute embolism and thrombosis of axillary vein, bilateral, I82.A19 — Acute embolism and thrombosis of unspecified axillary vein, I82.A21 — Chronic embolism and thrombosis of right axillary vein, I82.A22 — Chronic embolism and thrombosis of left axillary vein, I82.A23 — Chronic embolism and thrombosis of axillary vein, bilateral, I82.A29 — Chronic embolism and thrombosis of unspecified axillary vein, I82.B11 — Acute embolism and thrombosis of right subclavian vein, +180 more
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Acute phlebitis; thrombophlebitis and thromboembolism).
I82.619 — Acute embolism and thrombosis of superficial veins of unspecified upper extremity, I82.621 — Acute embolism and thrombosis of deep veins of right upper extremity, I82.622 — Acute embolism and thrombosis of deep veins of left upper extremity, I82.623 — Acute embolism and thrombosis of deep veins of upper extremity, bilateral, I82.629 — Acute embolism and thrombosis of deep veins of unspecified upper extremity, I82.811 — Embolism and thrombosis of superficial veins of right lower extremity, I82.812 — Embolism and thrombosis of superficial veins of left lower extremity, I82.813 — Embolism and thrombosis of superficial veins of lower extremities, bilateral, I82.819 — Embolism and thrombosis of superficial veins of unspecified lower extremity, I82.890 — Acute embolism and thrombosis of other specified veins, I82.A11 — Acute embolism and thrombosis of right axillary vein, I82.A12 — Acute embolism and thrombosis of left axillary vein, I82.A13 — Acute embolism and thrombosis of axillary vein, bilateral, I82.A19 — Acute embolism and thrombosis of unspecified axillary vein, I82.B11 — Acute embolism and thrombosis of right subclavian vein, I82.B12 — Acute embolism and thrombosis of left subclavian vein, I82.B13 — Acute embolism and thrombosis of subclavian vein, bilateral, I82.B19 — Acute embolism and thrombosis of unspecified subclavian vein, I82.C11 — Acute embolism and thrombosis of right internal jugular vein, I82.C12 — Acute embolism and thrombosis of left internal jugular vein, +106 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Embolism”, “Block, blocked”, “Thrombosis, thrombotic”; these codes share that main term but sit in a different category of the Tabular List.
I74.19 — Embolism and thrombosis of other parts of aorta (aorta, aortic, specified site NEC), I74.2 — Embolism and thrombosis of arteries of the upper extremities (upper extremity), I74.3 — Embolism and thrombosis of arteries of the lower extremities (popliteal), I74.4 — Embolism and thrombosis of arteries of extremities, unspecified (artery, limb), I74.5 — Embolism and thrombosis of iliac artery (artery, iliac), I74.8 — Embolism and thrombosis of other arteries (spleen, splenic), I74.9 — Embolism and thrombosis of unspecified artery, I76 — Septic arterial embolism (septic), I78.8 — Other diseases of capillaries (capillary), I81 — Portal vein thrombosis (portal), J13 — Pneumonia due to Streptococcus pneumoniae (pyemic, pneumococcal, with pneumonia), J84.10 — Pulmonary fibrosis, unspecified (alveolocapillary), K55.0 — Acute vascular disorders of intestine (mesenteric, vein), K55.039 — Acute (reversible) ischemia of large intestine, extent unspecified (intestine), K55.059 — Acute (reversible) ischemia of intestine, part and extent unspecified (mesenteric), K55.069 — Acute infarction of intestine, part and extent unspecified (omentum), K64.5 — Perianal venous thrombosis (anal), N28.0 — Ischemia and infarction of kidney (renal), N28.9 — Disorder of kidney and ureter, unspecified (kidney), N48.81 — Thrombosis of superficial vein of penis (penis), +114 more
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Gamma-glutamyl Transferase (GGT) Test, Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)
Contextual Map
Every relationship of I82.90 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I80-I89 — Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Clinical classification (CCSR)
- CIR033 — Acute phlebitis; thrombophlebitis and thromboembolism[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2027
- DRG 299 — PERIPHERAL VASCULAR DISORDERS WITH MCC[MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITH MCC (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 300 — PERIPHERAL VASCULAR DISORDERS WITH CC[MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITH CC (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 301 — PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC[MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
MDC crossing
- MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 15,708 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
Index entries
- Block, blocked, vein NOS[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Embolism (multiple) (paradoxical), vein (acute)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), vein (acute)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (40)
- I82 — Other venous embolism and thrombosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I82.71 — Chronic embolism and thrombosis of superficial veins of upper extremity[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I82.711 — Chronic embolism and thrombosis of superficial veins of right upper extremity[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I82.712 — Chronic embolism and thrombosis of superficial veins of left upper extremity[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I82.713 — Chronic embolism and thrombosis of superficial veins of upper extremity, bilateral[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I82.719 — Chronic embolism and thrombosis of superficial veins of unspecified upper extremity[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I82.72 — Chronic embolism and thrombosis of deep veins of upper extremity[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I82.721 — Chronic embolism and thrombosis of deep veins of right upper extremity[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Indexed Clinical Terms (4)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "I82.90 — Acute embolism and thrombosis of unspecified vein." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/i82.90-acute-embolism-and-thrombosis-of-unspecified-vein
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionAcute embolism and thrombosis of unspecified vein
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to I82.90 in its code family, with their registry titles.
- I82.819 — Embolism and thrombosis of superficial veins of unspecified lower extremity
- I82.89 — Embolism and thrombosis of other specified veins
- I82.890 — Acute embolism and thrombosis of other specified veins
- I82.891 — Chronic embolism and thrombosis of other specified veins
- I82.9 — Embolism and thrombosis of unspecified vein
- I82.91 — Chronic embolism and thrombosis of unspecified vein
- I82.A — Embolism and thrombosis of axillary vein
- I82.A1 — Acute embolism and thrombosis of axillary vein
- I82.A11 — Acute embolism and thrombosis of right axillary vein
- I82.A12 — Acute embolism and thrombosis of left axillary vein