ICD-10 Coding for Varicose Vein(I83.90, I83.811)
Complete ICD-10-CM coding and documentation guide for Varicose Vein. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Varicose Vein
I83.00-I83.92Primary Range
Varicose veins of lower extremities
This range includes all codes related to varicose veins, covering various complications such as ulcers and inflammation.
Varicose veins in pregnancy
This code is used specifically for varicose veins occurring during pregnancy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I83.90 | Asymptomatic varicose veins of lower extremities | Use when varicose veins are present without symptoms or complications. |
|
| I83.811 | Varicose veins of right lower extremity with pain | Use when varicose veins are present with documented pain in the right leg. |
|
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 varicose veins
Essential facts and insights about Varicose Vein
Primary ICD-10-CM Codes for varicose vein
Decision Criteria
clinical Criteria
- No symptoms such as pain, ulceration, or edema
Applicable To
- Varicose veins without complications
Excludes
- Varicose veins during pregnancy (O22.0)
Clinical Validation Requirements
- Physical examination confirming varicosities without symptoms
Code-Specific Risks
- Misclassification if symptoms are present but not documented
Coding Notes
- Ensure documentation specifies absence of symptoms.
I83.811 - Varicose veins of right lower extremity with pain
Use when varicose veins are present with documented pain in the right leg.
Applicable To
- Varicose veins with documented pain
Excludes
- Varicose veins during pregnancy (O22.0)
Clinical Validation Requirements
- Patient reports pain associated with varicose veins, confirmed by physical exam
Coding Notes
Document pain characteristics and relief methods.
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 Varicose Vein to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I83.90.
Impact
Clinical: Can lead to incorrect treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Always specify left or right leg in documentation.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation in patient records.
Mitigation Strategy
Use comprehensive codes like 36465 instead of separate codes for guidance and injection.
Impact
Inadequate documentation of symptoms can lead to audit findings.
Mitigation Strategy
Ensure comprehensive documentation of all symptoms and treatments.
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 Varicose Vein, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Varicose Vein
Use these documentation templates to ensure complete and accurate documentation for Varicose Vein. These templates include all required elements for proper coding and billing.
Varicose veins with ulceration
Specialty: Vascular SurgeryRequired Elements
- Ulcer size and location
- Pain description
- CEAP classification
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Varicose Vein? Ask your questions below.