I80.259 — Phlebitis and thrombophlebitis of unspecified calf muscular vein
Is I80.259 billable?
Yes, but I80.259 is an unspecified code. I80.259 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, I80.259 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting I80.259 — the more specific alternatives are listed below.
I80.259 at a glance
| Code | I80.259 |
|---|---|
| Description | Phlebitis and thrombophlebitis of unspecified calf muscular vein |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does I80.259 group to?
I80.259 sits in MDC 05 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 299Peripheral Vascular Disorders with MCCmedical
- 300Peripheral Vascular Disorders with CCmedical
- 301Peripheral Vascular Disorders without CC/MCCmedical
How is I80.259 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under I80.25, the nearest indexed parent of I80.259. Use them to find the family, then select the specific code.
- Phlebitis › calf muscular vein (infective) (pyemic) (septic) (suppurative)
- Phlebitis › gastrocnemial vein (infective) (pyemic) (septic) (suppurative)
- Phlebitis › soleal vein (infective) (pyemic) (septic) (suppurative)
- Thrombophlebitis › calf muscular vein
- Thrombophlebitis › gastrocnemial vein
- Thrombophlebitis › soleal vein
Excludes1 — never code together — inherited from I80
The conditions below can never be reported together with I80.259 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Code first — inherited from I80
The underlying condition below must be sequenced before I80.259. I80.259 describes a manifestation and cannot be the principal or first-listed diagnosis.
Excludes2 — not included here — inherited from Chapter 9
The conditions below are not part of I80.259, but a patient may have both at the same time. When documentation supports it, I80.259 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- transient cerebral ischemic attacks and related syndromes (G45.-)
How long has I80.259 existed?
I80.259 first appears in FY2021 (FY2020 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.