I82.409 — Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity
Is I82.409 billable?
Yes, but I82.409 will trip a Medicare edit. I82.409 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, CMS lists I82.409 under Medicare Code Editor edit 20, “Unspecified code” — meaning a code specifying laterality (right, left or bilateral) exists in the same family. On an inpatient claim this triggers the edit, because CMS holds that there are very limited circumstances in which laterality cannot be documented.
I82.409 at a glance
| Code | I82.409 |
|---|---|
| Description | Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to I82.409?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name I82.409 directly.
A code specifying laterality (right, left or bilateral) exists in the same family. CMS holds that there are very limited circumstances in which laterality cannot be documented.
Which MS-DRGs does I82.409 group to?
I82.409 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
As a secondary diagnosis, I82.409 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG. It also carries Hospital-Acquired Condition category 10.
How is I82.409 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under I82.40, the nearest indexed parent of I82.409. Use them to find the family, then select the specific code.
- Embolism › vein › deep (multiple) (paradoxical)
- Thrombosis, thrombotic › vein › deep (bland) (multiple) (progressive) (silent) (vessel)
- Embolism › vein › lower extremity › deep (multiple) (paradoxical)
- Thrombosis, thrombotic › vein › lower extremity › deep (bland) (multiple) (progressive) (silent) (vessel)
Excludes1 — never code together — inherited from I82.40
The conditions below can never be reported together with I82.409 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 I82
The underlying condition below must be sequenced before I82.409. I82.409 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 I82.409, but a patient may have both at the same time. When documentation supports it, I82.409 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.-)
Excludes2 — not included here — inherited from I82
The conditions below are not part of I82.409, but a patient may have both at the same time. When documentation supports it, I82.409 and the excluded code may both be reported.
How long has I82.409 existed?
I82.409 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.