ICD-10 Coding for Chronic Venous Disease(I87.2, L97.322)
Complete ICD-10-CM coding and documentation guide for Chronic Venous Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Venous Disease
I87.2-I87.9Primary Range
Other disorders of veins and lymphatics
This range includes chronic venous insufficiency, which is a primary condition associated with chronic venous disease.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
This range includes codes for non-pressure ulcers often associated with chronic venous disease.
Varicose veins of lower extremities
This range includes varicose veins with complications such as ulcers, which may coexist with chronic venous disease.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I87.2 | Chronic venous insufficiency (CVI) (peripheral) | Use when chronic venous insufficiency is documented with or without ulceration. |
|
| L97.322 | Non-pressure chronic ulcer of left ankle with fat layer exposed | Use when documenting a non-pressure ulcer of the left ankle with fat layer exposure. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for chronic venous disease
Essential facts and insights about Chronic Venous Disease
Primary ICD-10-CM Codes for chronic venous disease
Decision Criteria
clinical Criteria
- Presence of venous reflux >0.5s on duplex ultrasound
documentation Criteria
- CEAP classification documented as C3 or higher
Applicable To
- Chronic venous hypertension
Excludes
- Varicose veins of lower extremities (I83.-)
Clinical Validation Requirements
- CEAP classification C3 or higher
- Duplex ultrasound showing reflux >0.5s
Code-Specific Risks
- Incorrectly coding without CEAP classification
- Omitting documentation of reflux duration
Coding Notes
- Ensure documentation includes CEAP classification and ulcer details.
L97.322 - Non-pressure chronic ulcer of left ankle with fat layer exposed
Use when documenting a non-pressure ulcer of the left ankle with fat layer exposure.
Excludes
- Pressure ulcer of ankle (L89.-)
Clinical Validation Requirements
- Ulcer measurement and depth documented
- Linked to underlying venous insufficiency
Coding Notes
Ensure ulcer location and depth are clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of lower limb
L97.3-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Varicose veins of lower extremities with ulcer
I83.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Venous Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: Inaccurate clinical records, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Always specify laterality in documentation, Use templates to ensure completeness
Impact
Reimbursement: May lead to incorrect coding and reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies 'ulcer' with location and depth.
Impact
Failure to document CEAP classification and ulcer details.
Mitigation Strategy
Use structured templates and regular training for clinical staff.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Chronic Venous Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Venous Disease
Use these documentation templates to ensure complete and accurate documentation for Chronic Venous Disease. These templates include all required elements for proper coding and billing.
Chronic venous insufficiency with ulcer
Specialty: Vascular SurgeryRequired Elements
- CEAP classification
- Ulcer location and depth
- Duplex ultrasound findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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