ICD-10 Coding for Venous Disease(I87.2, I83.0)
Complete ICD-10-CM coding and documentation guide for Venous Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Venous Disease
I80-I89Primary Range
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
This range includes all venous disorders, including chronic venous insufficiency and 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 |
|---|---|---|---|
| I87.2 | Chronic venous insufficiency (CVI) of lower extremities | Use for chronic symptoms (≥3 months) with objective findings like edema and venous ulcers. |
|
| I83.0 | Varicose veins of lower extremities with ulcer | Use when varicose veins are present with documented ulceration. |
|
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 insufficiency
Essential facts and insights about Venous Disease
Primary ICD-10-CM Codes for venous disease
Decision Criteria
clinical Criteria
- Chronic symptoms with objective findings
documentation Criteria
- Specific ulcer location and severity
Applicable To
- Chronic venous hypertension
Excludes
- Varicose veins of lower extremities (I83.-)
Clinical Validation Requirements
- Venous Clinical Severity Score ≥3
- Duplex ultrasound showing reflux >0.5 sec
Code-Specific Risks
- Assuming chronicity without documentation
- Not specifying ulcer location
Coding Notes
- Ensure documentation specifies laterality and ulcer severity.
I83.0 - Varicose veins of lower extremities with ulcer
Use when varicose veins are present with documented ulceration.
Applicable To
- Varicose veins with ulceration
Excludes
- Chronic venous insufficiency without varicose veins (I87.2)
Clinical Validation Requirements
- Visible varicosities
- Ulcer location and stage documented
Coding Notes
Document ulcer stage and laterality for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
L97.-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 Venous Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: Leads to incomplete clinical records., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for denied claims due to insufficient detail.
Mitigation Strategy
Always document left or right for lower extremity conditions.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always use an additional code to specify ulcer severity (L97.-).
Impact
Failure to document ulcer severity and location can lead to audit issues.
Mitigation Strategy
Implement standardized documentation templates.
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 Venous Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Venous Disease
Use these documentation templates to ensure complete and accurate documentation for Venous Disease. These templates include all required elements for proper coding and billing.
Chronic Venous Insufficiency with Ulcer
Specialty: Vascular SurgeryRequired Elements
- Duration of symptoms
- Ulcer location and severity
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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