ICD-10 Coding for Varicose Veins of Lower Extremities(I83.00, I83.11, I83.813)
Complete ICD-10-CM coding and documentation guide for Varicose Veins of Lower Extremities. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Varicose Veins of Lower Extremities
I83.00-I83.93Primary Range
Varicose veins of lower extremities with complications
This range covers varicose veins with various complications such as ulcers, inflammation, and pain.
Non-pressure chronic ulcer of lower limb
Used to specify the presence of ulcers associated with varicose veins.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I83.00 | Varicose veins of lower extremities with ulcer | Use when varicose veins are accompanied by an ulcer. |
|
| I83.11 | Varicose veins of right lower extremity with inflammation | Use when inflammation is present in the right leg. |
|
| I83.813 | Varicose veins of bilateral lower extremities with pain | Use when pain is present in both legs 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 varicose veins of lower extremity
Essential facts and insights about Varicose Veins of Lower Extremities
Primary ICD-10-CM Codes for varicose veins of lower extremity
Decision Criteria
clinical Criteria
- Presence of ulcer with varicose veins
Applicable To
- Varicose veins with ulceration
Excludes
- Varicose veins without ulcer or inflammation
Clinical Validation Requirements
- Ulcer location and laterality must be documented
- Duplex ultrasound confirming venous reflux
Code-Specific Risks
- Incorrect laterality documentation
Coding Notes
- Ensure documentation of ulcer characteristics and laterality.
I83.11 - Varicose veins of right lower extremity with inflammation
Use when inflammation is present in the right leg.
Applicable To
- Varicose veins with phlebitis
Excludes
- Varicose veins without inflammation
Clinical Validation Requirements
- Documentation of inflammation signs like erythema and tenderness
- Duplex ultrasound confirming venous reflux
Coding Notes
Ensure inflammation is clearly documented.
I83.813 - Varicose veins of bilateral lower extremities with pain
Use when pain is present in both legs due to varicose veins.
Applicable To
- Varicose veins with associated pain
Excludes
- Varicose veins without pain
Clinical Validation Requirements
- Pain must be explicitly linked to varicose veins
- Duplex ultrasound confirming bilateral venous reflux
Coding Notes
Ensure pain is documented as related to varicose veins.
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 Veins of Lower Extremities to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I83.00.
Impact
Clinical: Inaccurate assessment of disease severity., Regulatory: Non-compliance with payer requirements., Financial: Potential denial of claims for procedures.
Mitigation Strategy
Incorporate CEAP classification in all relevant documentation, Use templates to ensure completeness
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always document and code the specific laterality of the varicose veins.
Impact
Coding without specifying the affected side increases audit risk.
Mitigation Strategy
Always document and code the specific laterality.
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 Veins of Lower Extremities, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Varicose Veins of Lower Extremities
Use these documentation templates to ensure complete and accurate documentation for Varicose Veins of Lower Extremities. These templates include all required elements for proper coding and billing.
Varicose veins with inflammation
Specialty: Vascular SurgeryRequired Elements
- Pain characteristics
- Inflammation signs
- Duplex ultrasound findings
- CEAP classification
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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