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267 HCC

Deep Vein Thrombosis and Pulmonary Embolism

CMS Model V28 167 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 267)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC267 2026 + 0.445
CFD HCC267 2026 + 0.568
CNA HCC267 2026 + 0.294
CND HCC267 2026 + 0.431
CPA HCC267 2026 + 0.338
CPD HCC267 2026 + 0.498
INS HCC267 2026 + 0.245

Mapped ICD-10-CM Diagnoses (167)

The following diagnoses map directly to HCC 267 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
I26.01 Septic pulmonary embolism with acute cor pulmonale Notes ↗
I26.02 Saddle embolus of pulmonary artery with acute cor pulmonale Notes ↗
I26.03 Cement embolism of pulmonary artery with acute cor pulmonale Notes ↗
I26.04 Fat embolism of pulmonary artery with acute cor pulmonale Notes ↗
I26.09 Other pulmonary embolism with acute cor pulmonale Notes ↗
I26.90 Septic pulmonary embolism without acute cor pulmonale Notes ↗
I26.92 Saddle embolus of pulmonary artery without acute cor pulmonale Notes ↗
I26.93 Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale Notes ↗
I26.94 Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale Notes ↗
I26.95 Cement embolism of pulmonary artery without acute cor pulmonale Notes ↗
I26.96 Fat embolism of pulmonary artery without acute cor pulmonale Notes ↗
I26.99 Other pulmonary embolism without acute cor pulmonale Notes ↗
I27.82 Chronic pulmonary embolism Notes ↗
I80.10 Phlebitis and thrombophlebitis of unspecified femoral vein Notes ↗
I80.11 Phlebitis and thrombophlebitis of right femoral vein Notes ↗
I80.12 Phlebitis and thrombophlebitis of left femoral vein Notes ↗
I80.13 Phlebitis and thrombophlebitis of femoral vein, bilateral Notes ↗
I80.201 Phlebitis and thrombophlebitis of unspecified deep vessels of right lower extremity Notes ↗
I80.202 Phlebitis and thrombophlebitis of unspecified deep vessels of left lower extremity Notes ↗
I80.203 Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities, bilateral Notes ↗
I80.209 Phlebitis and thrombophlebitis of unspecified deep vessels of unspecified lower extremity Notes ↗
I80.211 Phlebitis and thrombophlebitis of right iliac vein Notes ↗
I80.212 Phlebitis and thrombophlebitis of left iliac vein Notes ↗
I80.213 Phlebitis and thrombophlebitis of iliac vein, bilateral Notes ↗
I80.219 Phlebitis and thrombophlebitis of unspecified iliac vein Notes ↗
I80.221 Phlebitis and thrombophlebitis of right popliteal vein Notes ↗
I80.222 Phlebitis and thrombophlebitis of left popliteal vein Notes ↗
I80.223 Phlebitis and thrombophlebitis of popliteal vein, bilateral Notes ↗
I80.229 Phlebitis and thrombophlebitis of unspecified popliteal vein Notes ↗
I80.231 Phlebitis and thrombophlebitis of right tibial vein Notes ↗
I80.232 Phlebitis and thrombophlebitis of left tibial vein Notes ↗
I80.233 Phlebitis and thrombophlebitis of tibial vein, bilateral Notes ↗
I80.239 Phlebitis and thrombophlebitis of unspecified tibial vein Notes ↗
I80.241 Phlebitis and thrombophlebitis of right peroneal vein Notes ↗
I80.242 Phlebitis and thrombophlebitis of left peroneal vein Notes ↗
I80.243 Phlebitis and thrombophlebitis of peroneal vein, bilateral Notes ↗
I80.249 Phlebitis and thrombophlebitis of unspecified peroneal vein Notes ↗
I80.251 Phlebitis and thrombophlebitis of right calf muscular vein Notes ↗
I80.252 Phlebitis and thrombophlebitis of left calf muscular vein Notes ↗
I80.253 Phlebitis and thrombophlebitis of calf muscular vein, bilateral Notes ↗
I80.259 Phlebitis and thrombophlebitis of unspecified calf muscular vein Notes ↗
I80.291 Phlebitis and thrombophlebitis of other deep vessels of right lower extremity Notes ↗
I80.292 Phlebitis and thrombophlebitis of other deep vessels of left lower extremity Notes ↗
I80.293 Phlebitis and thrombophlebitis of other deep vessels of lower extremity, bilateral Notes ↗
I80.299 Phlebitis and thrombophlebitis of other deep vessels of unspecified lower extremity Notes ↗
I82.0 Budd-Chiari syndrome Notes ↗
I82.210 Acute embolism and thrombosis of superior vena cava Notes ↗
I82.211 Chronic embolism and thrombosis of superior vena cava Notes ↗
I82.220 Acute embolism and thrombosis of inferior vena cava Notes ↗
I82.221 Chronic embolism and thrombosis of inferior vena cava Notes ↗
I82.290 Acute embolism and thrombosis of other thoracic veins Notes ↗
I82.291 Chronic embolism and thrombosis of other thoracic veins Notes ↗
I82.3 Embolism and thrombosis of renal vein Notes ↗
I82.401 Acute embolism and thrombosis of unspecified deep veins of right lower extremity Notes ↗
I82.402 Acute embolism and thrombosis of unspecified deep veins of left lower extremity Notes ↗
I82.403 Acute embolism and thrombosis of unspecified deep veins of lower extremity, bilateral Notes ↗
I82.409 Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity Notes ↗
I82.411 Acute embolism and thrombosis of right femoral vein Notes ↗
I82.412 Acute embolism and thrombosis of left femoral vein Notes ↗
I82.413 Acute embolism and thrombosis of femoral vein, bilateral Notes ↗
I82.419 Acute embolism and thrombosis of unspecified femoral vein Notes ↗
I82.421 Acute embolism and thrombosis of right iliac vein Notes ↗
I82.422 Acute embolism and thrombosis of left iliac vein Notes ↗
I82.423 Acute embolism and thrombosis of iliac vein, bilateral Notes ↗
I82.429 Acute embolism and thrombosis of unspecified iliac vein Notes ↗
I82.431 Acute embolism and thrombosis of right popliteal vein Notes ↗
I82.432 Acute embolism and thrombosis of left popliteal vein Notes ↗
I82.433 Acute embolism and thrombosis of popliteal vein, bilateral Notes ↗
I82.439 Acute embolism and thrombosis of unspecified popliteal vein Notes ↗
I82.441 Acute embolism and thrombosis of right tibial vein Notes ↗
I82.442 Acute embolism and thrombosis of left tibial vein Notes ↗
I82.443 Acute embolism and thrombosis of tibial vein, bilateral Notes ↗
I82.449 Acute embolism and thrombosis of unspecified tibial vein Notes ↗
I82.451 Acute embolism and thrombosis of right peroneal vein Notes ↗
I82.452 Acute embolism and thrombosis of left peroneal vein Notes ↗
I82.453 Acute embolism and thrombosis of peroneal vein, bilateral Notes ↗
I82.459 Acute embolism and thrombosis of unspecified peroneal vein Notes ↗
I82.461 Acute embolism and thrombosis of right calf muscular vein Notes ↗
I82.462 Acute embolism and thrombosis of left calf muscular vein Notes ↗
I82.463 Acute embolism and thrombosis of calf muscular vein, bilateral Notes ↗
I82.469 Acute embolism and thrombosis of unspecified calf muscular vein Notes ↗
I82.491 Acute embolism and thrombosis of other specified deep vein of right lower extremity Notes ↗
I82.492 Acute embolism and thrombosis of other specified deep vein of left lower extremity Notes ↗
I82.493 Acute embolism and thrombosis of other specified deep vein of lower extremity, bilateral Notes ↗
I82.499 Acute embolism and thrombosis of other specified deep vein of unspecified lower extremity Notes ↗
I82.4Y1 Acute embolism and thrombosis of unspecified deep veins of right proximal lower extremity Notes ↗
I82.4Y2 Acute embolism and thrombosis of unspecified deep veins of left proximal lower extremity Notes ↗
I82.4Y3 Acute embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral Notes ↗
I82.4Y9 Acute embolism and thrombosis of unspecified deep veins of unspecified proximal lower extremity Notes ↗
I82.4Z1 Acute embolism and thrombosis of unspecified deep veins of right distal lower extremity Notes ↗
I82.4Z2 Acute embolism and thrombosis of unspecified deep veins of left distal lower extremity Notes ↗
I82.4Z3 Acute embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral Notes ↗
I82.4Z9 Acute embolism and thrombosis of unspecified deep veins of unspecified distal lower extremity Notes ↗
I82.501 Chronic embolism and thrombosis of unspecified deep veins of right lower extremity Notes ↗
I82.502 Chronic embolism and thrombosis of unspecified deep veins of left lower extremity Notes ↗
I82.503 Chronic embolism and thrombosis of unspecified deep veins of lower extremity, bilateral Notes ↗
I82.509 Chronic embolism and thrombosis of unspecified deep veins of unspecified lower extremity Notes ↗
I82.511 Chronic embolism and thrombosis of right femoral vein Notes ↗
I82.512 Chronic embolism and thrombosis of left femoral vein Notes ↗
I82.513 Chronic embolism and thrombosis of femoral vein, bilateral Notes ↗
I82.519 Chronic embolism and thrombosis of unspecified femoral vein Notes ↗
I82.521 Chronic embolism and thrombosis of right iliac vein Notes ↗
I82.522 Chronic embolism and thrombosis of left iliac vein Notes ↗
I82.523 Chronic embolism and thrombosis of iliac vein, bilateral Notes ↗
I82.529 Chronic embolism and thrombosis of unspecified iliac vein Notes ↗
I82.531 Chronic embolism and thrombosis of right popliteal vein Notes ↗
I82.532 Chronic embolism and thrombosis of left popliteal vein Notes ↗
I82.533 Chronic embolism and thrombosis of popliteal vein, bilateral Notes ↗
I82.539 Chronic embolism and thrombosis of unspecified popliteal vein Notes ↗
I82.541 Chronic embolism and thrombosis of right tibial vein Notes ↗
I82.542 Chronic embolism and thrombosis of left tibial vein Notes ↗
I82.543 Chronic embolism and thrombosis of tibial vein, bilateral Notes ↗
I82.549 Chronic embolism and thrombosis of unspecified tibial vein Notes ↗
I82.551 Chronic embolism and thrombosis of right peroneal vein Notes ↗
I82.552 Chronic embolism and thrombosis of left peroneal vein Notes ↗
I82.553 Chronic embolism and thrombosis of peroneal vein, bilateral Notes ↗
I82.559 Chronic embolism and thrombosis of unspecified peroneal vein Notes ↗
I82.561 Chronic embolism and thrombosis of right calf muscular vein Notes ↗
I82.562 Chronic embolism and thrombosis of left calf muscular vein Notes ↗
I82.563 Chronic embolism and thrombosis of calf muscular vein, bilateral Notes ↗
I82.569 Chronic embolism and thrombosis of unspecified calf muscular vein Notes ↗
I82.591 Chronic embolism and thrombosis of other specified deep vein of right lower extremity Notes ↗
I82.592 Chronic embolism and thrombosis of other specified deep vein of left lower extremity Notes ↗
I82.593 Chronic embolism and thrombosis of other specified deep vein of lower extremity, bilateral Notes ↗
I82.599 Chronic embolism and thrombosis of other specified deep vein of unspecified lower extremity Notes ↗
I82.5Y1 Chronic embolism and thrombosis of unspecified deep veins of right proximal lower extremity Notes ↗
I82.5Y2 Chronic embolism and thrombosis of unspecified deep veins of left proximal lower extremity Notes ↗
I82.5Y3 Chronic embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral Notes ↗
I82.5Y9 Chronic embolism and thrombosis of unspecified deep veins of unspecified proximal lower extremity Notes ↗
I82.5Z1 Chronic embolism and thrombosis of unspecified deep veins of right distal lower extremity Notes ↗
I82.5Z2 Chronic embolism and thrombosis of unspecified deep veins of left distal lower extremity Notes ↗
I82.5Z3 Chronic embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral Notes ↗
I82.5Z9 Chronic embolism and thrombosis of unspecified deep veins of unspecified distal lower extremity Notes ↗
I82.621 Acute embolism and thrombosis of deep veins of right upper extremity Notes ↗
I82.622 Acute embolism and thrombosis of deep veins of left upper extremity Notes ↗
I82.623 Acute embolism and thrombosis of deep veins of upper extremity, bilateral Notes ↗
I82.629 Acute embolism and thrombosis of deep veins of unspecified upper extremity Notes ↗
I82.721 Chronic embolism and thrombosis of deep veins of right upper extremity Notes ↗
I82.722 Chronic embolism and thrombosis of deep veins of left upper extremity Notes ↗
I82.723 Chronic embolism and thrombosis of deep veins of upper extremity, bilateral Notes ↗
I82.729 Chronic embolism and thrombosis of deep veins of unspecified upper extremity Notes ↗
I82.A11 Acute embolism and thrombosis of right axillary vein Notes ↗
I82.A12 Acute embolism and thrombosis of left axillary vein Notes ↗
I82.A13 Acute embolism and thrombosis of axillary vein, bilateral Notes ↗
I82.A19 Acute embolism and thrombosis of unspecified axillary vein Notes ↗
I82.A21 Chronic embolism and thrombosis of right axillary vein Notes ↗
I82.A22 Chronic embolism and thrombosis of left axillary vein Notes ↗
I82.A23 Chronic embolism and thrombosis of axillary vein, bilateral Notes ↗
I82.A29 Chronic embolism and thrombosis of unspecified axillary vein Notes ↗
I82.B11 Acute embolism and thrombosis of right subclavian vein Notes ↗
I82.B12 Acute embolism and thrombosis of left subclavian vein Notes ↗
I82.B13 Acute embolism and thrombosis of subclavian vein, bilateral Notes ↗
I82.B19 Acute embolism and thrombosis of unspecified subclavian vein Notes ↗
I82.B21 Chronic embolism and thrombosis of right subclavian vein Notes ↗
I82.B22 Chronic embolism and thrombosis of left subclavian vein Notes ↗
I82.B23 Chronic embolism and thrombosis of subclavian vein, bilateral Notes ↗
I82.B29 Chronic embolism and thrombosis of unspecified subclavian vein Notes ↗
I82.C11 Acute embolism and thrombosis of right internal jugular vein Notes ↗
I82.C12 Acute embolism and thrombosis of left internal jugular vein Notes ↗
I82.C13 Acute embolism and thrombosis of internal jugular vein, bilateral Notes ↗
I82.C19 Acute embolism and thrombosis of unspecified internal jugular vein Notes ↗
I82.C21 Chronic embolism and thrombosis of right internal jugular vein Notes ↗
I82.C22 Chronic embolism and thrombosis of left internal jugular vein Notes ↗
I82.C23 Chronic embolism and thrombosis of internal jugular vein, bilateral Notes ↗
I82.C29 Chronic embolism and thrombosis of unspecified internal jugular vein Notes ↗
T79.0XXA Air embolism (traumatic), initial encounter Notes ↗
T79.1XXA Fat embolism (traumatic), initial encounter Notes ↗
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