Phlebitis and thrombophlebitis of lower extremities, unspecified

This code signifies inflammation of a vein (phlebitis) or inflammation of a vein with associated clot formation (thrombophlebitis) occurring in the lower extremities. It indicates that the specific vein affected, or other details about the condition, are not documented.

Apply this code when the medical record clearly states phlebitis or thrombophlebitis of the lower extremity, but lacks specificity regarding the deep or superficial nature, or the precise anatomical location (e.g., femoral, saphenous). Documentation might simply state "LE thrombophlebitis" without further detail.

• Avoid using this code if the documentation specifies deep vein thrombosis (DVT) or superficial thrombophlebitis, as more specific codes exist.
• Query the provider for greater specificity regarding the type and location of thrombophlebitis when possible.
• Consider sequencing this code after any underlying cause, such as malignancy or trauma, if applicable and documented.