ICD-10 Coding for Chronic Venous Stasis(I87.2, I87.31)
Complete ICD-10-CM coding and documentation guide for Chronic Venous Stasis. 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
I87.2-I87.31Primary Range
Chronic venous insufficiency and related conditions
This range includes codes for chronic venous insufficiency and its complications, such as venous ulcers.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
This range is used for coding specific ulcer locations and severities 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 | Chronic venous insufficiency (CVI) of lower extremity | Use when there is documented chronic venous insufficiency without specific ulcer details. |
|
| I87.31 | Chronic venous hypertension (idiopathic) with ulcer | Use when there is documented venous hypertension with associated ulcer. |
|
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
Essential facts and insights about Chronic Venous Stasis
Primary ICD-10-CM Codes for chronic venous stasis
Decision Criteria
clinical Criteria
- Presence of chronic venous symptoms and ultrasound confirmation
Applicable To
- Venous stasis
- Chronic venous hypertension
Excludes
- Varicose veins with ulcer (I83.0-)
Clinical Validation Requirements
- Duplex ultrasound showing reflux >500ms
- Ambulatory venous pressure >40mmHg
Code-Specific Risks
- Misclassification if underlying condition is not documented
- Omission of laterality
Coding Notes
- Ensure documentation specifies 'chronic' and includes laterality.
I87.31 - Chronic venous hypertension (idiopathic) with ulcer
Use when there is documented venous hypertension with associated ulcer.
Applicable To
- Venous stasis ulcer
Excludes
- Varicose veins with ulcer (I83.0-)
Clinical Validation Requirements
- Documented venous hypertension with ulceration
Coding Notes
Ensure documentation includes both hypertension and ulcer details.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Stasis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential claim denials.
Mitigation Strategy
Always document and code the underlying venous condition., Use I87.2 as primary when applicable.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always specify the ulcer location and use the appropriate L97 code.
Impact
Failure to specify ulcer location and depth can lead to audit issues.
Mitigation Strategy
Implement thorough documentation practices and regular coding audits.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Venous Stasis
Use these documentation templates to ensure complete and accurate documentation for Chronic Venous Stasis. These templates include all required elements for proper coding and billing.
Chronic venous insufficiency with ulcer
Specialty: PodiatryRequired Elements
- CEAP classification
- Ulcer size and depth
- Compression therapy details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Chronic Venous Stasis? Ask your questions below.