October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

I80 Phlebitis and thrombophlebitis

All 39 codes in the I80 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

39

Can lead a claim

29

Cannot lead a claim

10

What CMS assigns to I80

29 of the 39 codes group to MMTA - Cardiac and Circulatory; 10 are assigned no clinical group. None of the 39 is assigned a comorbidity subgroup. 29 of the 39 can lead a claim. CMS attaches a code-first note to all 39.

Code first

CMS grouper convention 81, on all 39 codes. Code first:

  • , if applicable: phlebitis and thrombophlebitis complicating abortion, ectopic or molar pregnancy (O00-O07, O08.7)
  • phlebitis and thrombophlebitis complicating pregnancy, childbirth and the puerperium (O22.-, O87.-)

Every code in I80

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
I80.0 Phlebitis and thrombophlebitis of superficial vessels of lower extremities
I80.00Phlebitis and thrombophlebitis of superficial vessels of unspecified lower extremityCMS: Phlbts and thombophlb of superfic vessels of unsp low extrmCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
I80.01Phlebitis and thrombophlebitis of superficial vessels of right lower extremityCMS: Phlebitis and thombophlb of superfic vessels of r low extremCan lead a claim, code first appliesHNone
I80.02Phlebitis and thrombophlebitis of superficial vessels of left lower extremityCMS: Phlebitis and thombophlb of superfic vessels of l low extremCan lead a claim, code first appliesHNone
I80.03Phlebitis and thrombophlebitis of superficial vessels of lower extremities, bilateralCMS: Phlbts and thombophlb of superfic vessels of low extrm, biCan lead a claim, code first appliesHNone
I80.1 Phlebitis and thrombophlebitis of femoral vein
I80.10Phlebitis and thrombophlebitis of unspecified femoral veinCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
I80.11Phlebitis and thrombophlebitis of right femoral veinCan lead a claim, code first appliesHNone
I80.12Phlebitis and thrombophlebitis of left femoral veinCan lead a claim, code first appliesHNone
I80.13Phlebitis and thrombophlebitis of femoral vein, bilateralCan lead a claim, code first appliesHNone
I80.2 Phlebitis and thrombophlebitis of other and unspecified deep vessels of lower extremities
I80.20 Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities
I80.201Phlebitis and thrombophlebitis of unspecified deep vessels of right lower extremityCMS: Phlbts and thombophlb of unsp deep vessels of r low extremCan lead a claim, code first appliesHNone
I80.202Phlebitis and thrombophlebitis of unspecified deep vessels of left lower extremityCMS: Phlbts and thombophlb of unsp deep vessels of l low extremCan lead a claim, code first appliesHNone
I80.203Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities, bilateralCMS: Phlbts and thombophlb of unsp deep vessels of low extrm, biCan lead a claim, code first appliesHNone
I80.209Phlebitis and thrombophlebitis of unspecified deep vessels of unspecified lower extremityCMS: Phlbts and thombophlb of unsp deep vessels of unsp low extrmCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
I80.21 Phlebitis and thrombophlebitis of iliac vein
I80.211Phlebitis and thrombophlebitis of right iliac veinCan lead a claim, code first appliesHNone
I80.212Phlebitis and thrombophlebitis of left iliac veinCan lead a claim, code first appliesHNone
I80.213Phlebitis and thrombophlebitis of iliac vein, bilateralCan lead a claim, code first appliesHNone
I80.219Phlebitis and thrombophlebitis of unspecified iliac veinCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
I80.22 Phlebitis and thrombophlebitis of popliteal vein
I80.221Phlebitis and thrombophlebitis of right popliteal veinCan lead a claim, code first appliesHNone
I80.222Phlebitis and thrombophlebitis of left popliteal veinCan lead a claim, code first appliesHNone
I80.223Phlebitis and thrombophlebitis of popliteal vein, bilateralCan lead a claim, code first appliesHNone
I80.229Phlebitis and thrombophlebitis of unspecified popliteal veinCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
I80.23 Phlebitis and thrombophlebitis of tibial vein
I80.231Phlebitis and thrombophlebitis of right tibial veinCan lead a claim, code first appliesHNone
I80.232Phlebitis and thrombophlebitis of left tibial veinCan lead a claim, code first appliesHNone
I80.233Phlebitis and thrombophlebitis of tibial vein, bilateralCan lead a claim, code first appliesHNone
I80.239Phlebitis and thrombophlebitis of unspecified tibial veinCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
I80.24 Phlebitis and thrombophlebitis of peroneal vein
I80.241Phlebitis and thrombophlebitis of right peroneal veinCan lead a claim, code first appliesHNone
I80.242Phlebitis and thrombophlebitis of left peroneal veinCan lead a claim, code first appliesHNone
I80.243Phlebitis and thrombophlebitis of peroneal vein, bilateralCan lead a claim, code first appliesHNone
I80.249Phlebitis and thrombophlebitis of unspecified peroneal veinCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
I80.25 Phlebitis and thrombophlebitis of calf muscular vein
I80.251Phlebitis and thrombophlebitis of right calf muscular veinCan lead a claim, code first appliesHNone
I80.252Phlebitis and thrombophlebitis of left calf muscular veinCan lead a claim, code first appliesHNone
I80.253Phlebitis and thrombophlebitis of calf muscular vein, bilateralCMS: Phlebitis and thombophlb of calf muscular vein, bilateralCan lead a claim, code first appliesHNone
I80.259Phlebitis and thrombophlebitis of unspecified calf muscular veinCMS: Phlebitis and thombophlb of unspecified calf muscular veinCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
I80.29 Phlebitis and thrombophlebitis of other deep vessels of lower extremities
I80.291Phlebitis and thrombophlebitis of other deep vessels of right lower extremityCMS: Phlebitis and thombophlb of deep vessels of r low extremCan lead a claim, code first appliesHNone
I80.292Phlebitis and thrombophlebitis of other deep vessels of left lower extremityCMS: Phlebitis and thombophlb of deep vessels of l low extremCan lead a claim, code first appliesHNone
I80.293Phlebitis and thrombophlebitis of other deep vessels of lower extremity, bilateralCMS: Phlebitis and thombophlb of deep vessels of low extrm, biCan lead a claim, code first appliesHNone
I80.299Phlebitis and thrombophlebitis of other deep vessels of unspecified lower extremityCMS: Phlebitis and thombophlb of deep vessels of unsp low extrmCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
I80.3Phlebitis and thrombophlebitis of lower extremities, unspecifiedCMS: Phlebitis and thrombophlebitis of lower extremities, unspCan lead a claim, code first appliesHNone
I80.8Phlebitis and thrombophlebitis of other sitesCan lead a claim, code first appliesHNone
I80.9Phlebitis and thrombophlebitis of unspecified siteCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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