ICD-10 Coding for Venous Stasis Dermatitis of Both Lower Extremities(I87.2, I87.313)
Complete ICD-10-CM coding and documentation guide for Venous Stasis Dermatitis of Both Lower Extremities. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Venous Stasis Dermatitis of Both Lower Extremities
I87.2-I87.9Primary Range
Other disorders of veins
This range includes codes for chronic venous insufficiency and related conditions, which are primary for venous stasis dermatitis.
Other dermatitis
This range includes codes for dermatitis, which may be used in conjunction with venous insufficiency codes.
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) (peripheral) | Use when venous stasis dermatitis is present without ulcers and varicose veins are not documented. |
|
| I87.313 | Chronic venous hypertension (idiopathic) with ulcer of bilateral lower extremities | Use when bilateral ulcers are present due to venous hypertension. |
|
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 venous stasis dermatitis of both lower extremities
Essential facts and insights about Venous Stasis Dermatitis of Both Lower Extremities
Primary ICD-10-CM Codes for venous stasis dermatitis of both lower extremities
Decision Criteria
clinical Criteria
- Presence of chronic venous insufficiency confirmed by Doppler
documentation Criteria
- Documented absence of varicose veins
Applicable To
- Venous stasis dermatitis without ulcer
Excludes
- Varicose veins with ulcer (I83.0-)
Clinical Validation Requirements
- Doppler ultrasound showing venous reflux
- Clinical signs of edema, skin changes
Code-Specific Risks
- Confusion with varicose veins coding
- Failure to document laterality
Coding Notes
- Ensure documentation specifies chronic venous insufficiency and absence of varicose veins.
I87.313 - Chronic venous hypertension (idiopathic) with ulcer of bilateral lower extremities
Use when bilateral ulcers are present due to venous hypertension.
Applicable To
- Bilateral ulcers due to venous hypertension
Excludes
- Ulcers due to other causes
Clinical Validation Requirements
- Doppler ultrasound confirming venous hypertension
- Presence of bilateral ulcers
Coding Notes
Ensure documentation specifies bilateral involvement and ulcer presence.
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 Venous Stasis Dermatitis of Both Lower Extremities to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always specify laterality in documentation., Use bilateral codes when applicable.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects accuracy of patient records and data reporting.
Mitigation Strategy
Ensure documentation clearly distinguishes between the two conditions.
Impact
Improper sequencing of codes can lead to audit flags.
Mitigation Strategy
Follow coding guidelines for primary and secondary conditions.
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 Stasis Dermatitis of Both Lower Extremities, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Venous Stasis Dermatitis of Both Lower Extremities
Use these documentation templates to ensure complete and accurate documentation for Venous Stasis Dermatitis of Both Lower Extremities. These templates include all required elements for proper coding and billing.
Chronic venous insufficiency with dermatitis
Specialty: DermatologyRequired Elements
- History of venous insufficiency
- Skin examination findings
- Doppler ultrasound results
- Assessment linking dermatitis to venous insufficiency
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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