ICD-10 Coding for Chronic Venous Stasis Ulcer(I87.2, I83.0-)
Complete ICD-10-CM coding and documentation guide for Chronic Venous Stasis Ulcer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Venous Stasis Ulcer
I83.0-I83.9Primary Range
Varicose veins of lower extremities with ulcer
Used when varicose veins are present with the ulcer.
Chronic venous insufficiency (CVI) of lower extremity
Used for venous stasis ulcers without varicose veins.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
Used to specify the location and severity of the ulcer.
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) of lower extremity | Use when the ulcer is due to venous insufficiency without varicose veins. |
|
| I83.0- | Varicose veins of lower extremities with ulcer | Use when the ulcer is due to varicose veins. |
|
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 stasis ulcer
Essential facts and insights about Chronic Venous Stasis Ulcer
Primary ICD-10-CM Codes for chronic venous stasis ulcer
Decision Criteria
clinical Criteria
- Ulcer due to venous insufficiency without varicose veins.
Applicable To
- Venous stasis ulcer without varicose veins
Excludes
- Varicose veins with ulcer (I83.0-)
Clinical Validation Requirements
- Doppler ultrasound showing venous reflux
- ABPI between 0.8 and 1.3
Code-Specific Risks
- Incorrectly using when varicose veins are present.
Coding Notes
- Ensure documentation specifies the absence of varicose veins.
I83.0- - Varicose veins of lower extremities with ulcer
Use when the ulcer is due to varicose veins.
Applicable To
- Ulcer due to varicose veins
Excludes
- Chronic venous insufficiency without varicose veins (I87.2)
Clinical Validation Requirements
- Physical examination confirming varicose veins
- Doppler ultrasound showing venous reflux
Coding Notes
Ensure documentation specifies the presence of varicose veins.
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-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Venous Stasis Ulcer 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 or reduced reimbursement.
Mitigation Strategy
Use templates to ensure complete documentation., Train staff on documentation requirements.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I83.0- when varicose veins are documented.
Impact
Use of unspecified codes for ulcer location and severity.
Mitigation Strategy
Implement detailed documentation protocols.
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 Stasis Ulcer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Venous Stasis Ulcer
Use these documentation templates to ensure complete and accurate documentation for Chronic Venous Stasis Ulcer. These templates include all required elements for proper coding and billing.
Chronic venous stasis ulcer without varicose veins
Specialty: PodiatryRequired Elements
- Ulcer location and size
- Presence of edema or skin changes
- ABPI results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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