DRAFT

ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual

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MDC 05 Diseases and disorders of the circulatory system
Deep vein thrombophlebitis
CC or MCC DRG
Yes 294
No 295

DRG 294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC

DRG 295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC

PRINCIPAL DIAGNOSIS

I8010Phlebitis and thrombophlebitis of unspecified femoral vein
I8011Phlebitis and thrombophlebitis of right femoral vein
I8012Phlebitis and thrombophlebitis of left femoral vein
I8013Phlebitis and thrombophlebitis of femoral vein, bilateral
I80201Phlebitis and thrombophlebitis of unspecified deep vessels of right lower extremity
I80202Phlebitis and thrombophlebitis of unspecified deep vessels of left lower extremity
I80203Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities, bilateral
I80209Phlebitis and thrombophlebitis of unspecified deep vessels of unspecified lower extremity
I80211Phlebitis and thrombophlebitis of right iliac vein
I80212Phlebitis and thrombophlebitis of left iliac vein
I80213Phlebitis and thrombophlebitis of iliac vein, bilateral
I80219Phlebitis and thrombophlebitis of unspecified iliac vein
I80221Phlebitis and thrombophlebitis of right popliteal vein
I80222Phlebitis and thrombophlebitis of left popliteal vein
I80223Phlebitis and thrombophlebitis of popliteal vein, bilateral
I80229Phlebitis and thrombophlebitis of unspecified popliteal vein
I80231Phlebitis and thrombophlebitis of right tibial vein
I80232Phlebitis and thrombophlebitis of left tibial vein
I80233Phlebitis and thrombophlebitis of tibial vein, bilateral
I80239Phlebitis and thrombophlebitis of unspecified tibial vein
I80241Phlebitis and thrombophlebitis of right peroneal vein
I80242Phlebitis and thrombophlebitis of left peroneal vein
I80243Phlebitis and thrombophlebitis of peroneal vein, bilateral
I80249Phlebitis and thrombophlebitis of unspecified peroneal vein
I80251Phlebitis and thrombophlebitis of right calf muscular vein
I80252Phlebitis and thrombophlebitis of left calf muscular vein
I80253Phlebitis and thrombophlebitis of calf muscular vein, bilateral
I80259Phlebitis and thrombophlebitis of unspecified calf muscular vein
I80291Phlebitis and thrombophlebitis of other deep vessels of right lower extremity
I80292Phlebitis and thrombophlebitis of other deep vessels of left lower extremity
I80293Phlebitis and thrombophlebitis of other deep vessels of lower extremity, bilateral
I80299Phlebitis and thrombophlebitis of other deep vessels of unspecified lower extremity
I803Phlebitis and thrombophlebitis of lower extremities, unspecified
I82220Acute embolism and thrombosis of inferior vena cava
I82221Chronic embolism and thrombosis of inferior vena cava



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16 Mar 2022 17:08:13
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