ICD-10 Coding for Peripheral Venous Insufficiency(I87.2, L97.3)
Complete ICD-10-CM coding and documentation guide for Peripheral Venous Insufficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Venous Insufficiency
I87-I89Primary Range
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
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 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 chronic venous insufficiency is documented with clinical findings. |
|
| L97.3 | Non-pressure chronic ulcer of ankle | Use when documenting a non-pressure ulcer of the ankle. |
|
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 peripheral venous insufficiency
Essential facts and insights about Peripheral Venous Insufficiency
Primary ICD-10-CM Codes for peripheral venous insufficiency
Decision Criteria
clinical Criteria
- Presence of chronic edema and skin changes
documentation Criteria
- Detailed ulcer description if present
Applicable To
- Chronic venous insufficiency
- Peripheral venous insufficiency
Clinical Validation Requirements
- Chronic edema
- Stasis dermatitis
- Venous ulcers
Code-Specific Risks
- Confusion with arterial insufficiency
- Omission of ulcer codes when present
Coding Notes
- Ensure documentation specifies chronicity and associated conditions.
L97.3 - Non-pressure chronic ulcer of ankle
Use when documenting a non-pressure ulcer of the ankle.
Applicable To
- Chronic ulcer of ankle
Excludes
- Pressure ulcer of ankle (L89.-)
Clinical Validation Requirements
- Ulcer depth and layer involvement
- Specific site documentation
Coding Notes
Ensure ulcer specifics are 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.-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Atherosclerosis of native arteries
I70.2-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Peripheral 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: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific ulcer terminology, Include detailed descriptions
Impact
Reimbursement: May lead to lower DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Incomplete clinical data representation.
Mitigation Strategy
Always code I87.2 with any associated ulcer codes.
Impact
Lack of specific ulcer details can trigger audits.
Mitigation Strategy
Ensure comprehensive documentation of ulcer characteristics.
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 Peripheral Venous Insufficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Venous Insufficiency
Use these documentation templates to ensure complete and accurate documentation for Peripheral Venous Insufficiency. These templates include all required elements for proper coding and billing.
Chronic venous insufficiency with ulcer
Specialty: Vascular SurgeryRequired Elements
- History of present illness
- Physical examination findings
- Diagnostic test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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