ICD-10 Coding for Stasis Ulcer(I87.2, L97.322)
Complete ICD-10-CM coding and documentation guide for Stasis Ulcer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Stasis Ulcer
I87.2Primary Range
Chronic venous insufficiency (CVI)
Primary code for chronic venous insufficiency, often used when ulcers are present.
L97.XXXPrimary Range
Non-pressure chronic ulcer of lower limb, not elsewhere classified
Used for coding non-pressure ulcers, specifying site, laterality, and severity.
Varicose veins of lower extremities with ulcer
Used when varicose veins are the confirmed cause of the ulcer.
Atherosclerosis of native arteries of extremities with ulceration
Used for arterial ulcers, differentiating from venous ulcers.
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) | Use when chronic venous insufficiency is the underlying cause of the ulcer. |
|
| L97.322 | Non-pressure chronic ulcer of left ankle with fat layer exposed | Use for non-pressure ulcers with specified depth and location. |
|
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 stasis ulcer
Essential facts and insights about Stasis Ulcer
Primary ICD-10-CM Codes for stasis ulcer
Decision Criteria
clinical Criteria
- Edema and venous reflux confirmed by ultrasound
Applicable To
- Venous stasis
- Venous hypertension
Clinical Validation Requirements
- Presence of edema and hemosiderin staining
- Duplex ultrasound showing venous reflux
Code-Specific Risks
- Incorrect sequencing if not listed before ulcer code
Coding Notes
- Ensure documentation specifies venous etiology.
L97.322 - Non-pressure chronic ulcer of left ankle with fat layer exposed
Use for non-pressure ulcers with specified depth and location.
Applicable To
- Chronic ulcer of skin
Excludes
- Pressure ulcer (L89.XXX)
Clinical Validation Requirements
- Documentation of ulcer depth and location
- Exclusion of pressure ulcer etiology
Coding Notes
Ensure depth and laterality are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Varicose veins with ulcer
I83.0-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting 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: Loss of specific clinical information., Regulatory: Potential audit risk., Financial: Denied claims due to lack of specificity.
Mitigation Strategy
Always document ulcer specifics, Use specific codes when details are known
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies ulcer type and etiology.
Impact
Inaccurate staging can lead to incorrect HCC mapping.
Mitigation Strategy
Ensure detailed documentation of ulcer stage and 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 Stasis Ulcer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Stasis Ulcer
Use these documentation templates to ensure complete and accurate documentation for Stasis Ulcer. These templates include all required elements for proper coding and billing.
Chronic venous ulcer documentation
Specialty: PodiatryRequired Elements
- Ulcer location and dimensions
- Depth and tissue involvement
- Presence of edema and trophic changes
- Vascular assessment results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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