ICD-10 Coding for Chronic Venous Insufficiency(I87.2, I87.3)
Complete ICD-10-CM coding and documentation guide for Chronic Venous Insufficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Venous Insufficiency
I87.2-I87.9Primary Range
Other disorders of veins and lymphatics
This range includes codes for chronic venous insufficiency and related conditions.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
Used for coding ulcers associated with chronic venous insufficiency.
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 | Venous insufficiency (chronic) (peripheral) | Use when there is documented chronic venous insufficiency without varicose veins or post-thrombotic syndrome. |
|
| I87.3 | Chronic venous hypertension (idiopathic) | Use for idiopathic venous hypertension without varicose veins or CVI skin changes. |
|
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 insufficiency
Essential facts and insights about Chronic Venous Insufficiency
Primary ICD-10-CM Codes for chronic venous insufficiency
Decision Criteria
clinical Criteria
- Presence of chronic venous stasis symptoms and Doppler ultrasound confirmation
coding Criteria
- Excludes varicose veins and post-thrombotic syndrome
Applicable To
- Chronic venous stasis
- Peripheral venous insufficiency
Clinical Validation Requirements
- Doppler ultrasound showing venous reflux
- CEAP classification C3-C6
Code-Specific Risks
- Confusion with I87.3 when varicose veins are present
Coding Notes
- Ensure documentation includes CEAP classification and any associated ulcers.
I87.3 - Chronic venous hypertension (idiopathic)
Use for idiopathic venous hypertension without varicose veins or CVI skin changes.
Applicable To
- Idiopathic venous hypertension
Excludes
- Varicose veins (I83.-)
- Chronic venous insufficiency (I87.2)
Clinical Validation Requirements
- Clinical diagnosis of venous hypertension without varicose veins
Coding Notes
Ensure no varicose veins are present when using this code.
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.-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Venous Insufficiency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Standardize CEAP documentation in templates, Educate staff on importance of CEAP classification
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I82.4x for acute DVT instead.
Impact
Claims may be denied if CEAP classification is not documented.
Mitigation Strategy
Implement mandatory CEAP documentation in EHR templates.
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 Insufficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Venous Insufficiency
Use these documentation templates to ensure complete and accurate documentation for Chronic Venous Insufficiency. These templates include all required elements for proper coding and billing.
Chronic venous insufficiency with ulcer
Specialty: Vascular SurgeryRequired Elements
- CEAP classification
- Ulcer description
- Doppler ultrasound results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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