I82.4Z9 Acute embolism and thrombosis of unspecified deep veins of unspecified distal lower extremity

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applies from I82 Other venous embolism and thrombosis

Excludes2 (not included here)

• venous embolism and thrombosis (of):
• cerebral (I63.6, I67.6)
• coronary (I21-I25)
• intracranial and intraspinal, septic or NOS (G08)
• intracranial, nonpyogenic (I67.6)
• intraspinal, nonpyogenic (G95.1)
• mesenteric (K55.0-)
• portal (I81)
• pulmonary (I26.-)

Code first

• venous embolism and thrombosis complicating:
• abortion, ectopic or molar pregnancy (O00-O07, O08.7)
• pregnancy, childbirth and the puerperium (O22.-, O87.-)

Applies from I82.4Z Acute embolism and thrombosis of unspecified deep veins of distal lower extremity

Applicable to

• Acute embolism and thrombosis of deep vein of calf NOS
• Acute embolism and thrombosis of deep vein of lower leg NOS

Risk adjustment (HCC)

• CMS-HCC V28: HCC 267 — Deep Vein Thrombosis and Pulmonary Embolism
• CMS-HCC V22: HCC 108 — Vascular Disease
• RxHCC V08: HCC 215 — Venous Thromboembolism
• ESRD V24: HCC 108

MS-DRG index

Defines the logic of DRG(s) 299-301 in MDC 05.

Approximate ICD-9-CM (GEMs)

• 453.42 Acute venous embolism and thrombosis of deep vessels of distal lower extremity (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Code annotations containing back-references to I82.4Z9

Back-references to I82.4Z

• Type 1 Excludes: I82.40 Acute embolism and thrombosis of unspecified deep veins of lower extremity ("acute embolism and thrombosis of unspecified deep veins of distal lower extremity (I82.4Z-)")

Back-references to I82.4

• Type 1 Excludes: I80 Phlebitis and thrombophlebitis ("venous embolism and thrombosis of lower extremities (I82.4-, I82.5-, I82.81-)")
• Use Additional: O22.3 Deep phlebothrombosis in pregnancy ("code to identify the deep vein thrombosis (I82.4-, I82.5-, I82.62-, I82.72-)")
• Use Additional: O87.1 Deep phlebothrombosis in the puerperium ("code to identify the deep vein thrombosis (I82.4-, I82.5-, I82.62-, I82.72-)")

Nearby codes

• I82.4Y9 Acute embolism and thrombosis of unspecified deep veins of unspecified proximal lower extremity
• I82.4Z Acute embolism and thrombosis of unspecified deep veins of distal lower extremity
• I82.4Z1 Acute embolism and thrombosis of unspecified deep veins of right distal lower extremity
• I82.4Z2 Acute embolism and thrombosis of unspecified deep veins of left distal lower extremity
• I82.4Z3 Acute embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral
• I82.4Z9 Acute embolism and thrombosis of unspecified deep veins of unspecified distal lower extremity (this code)
• I82.5 Chronic embolism and thrombosis of deep veins of lower extremity
• I82.50 Chronic embolism and thrombosis of unspecified deep veins of lower extremity
• I82.501 Chronic embolism and thrombosis of unspecified deep veins of right lower extremity
• I82.502 Chronic embolism and thrombosis of unspecified deep veins of left lower extremity
• I82.503 Chronic embolism and thrombosis of unspecified deep veins of lower extremity, bilateral