ICD-10 Coding for Venous Stasis Dermatitis(I87.2, L97.-)
Complete ICD-10-CM coding and documentation guide for Venous Stasis Dermatitis. 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
I83-I87Primary Range
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
This range includes codes for venous insufficiency and varicose veins, which are primary causes of venous stasis dermatitis.
Ulcers of lower limb, not elsewhere classified
This range includes codes for chronic ulcers associated with venous stasis dermatitis.
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 when chronic venous insufficiency is documented as the cause of stasis dermatitis or ulcer. |
|
| L97.- | Non-pressure chronic ulcer of lower limb, not elsewhere classified | Use as a secondary code to specify ulcer details when coding for venous stasis dermatitis. |
|
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
Essential facts and insights about Venous Stasis Dermatitis
Primary ICD-10-CM Codes for venous stasis dermatitis
Decision Criteria
clinical Criteria
- Presence of venous reflux confirmed by imaging
documentation Criteria
- Detailed description of skin changes and ulcer characteristics
Applicable To
- Venous hypertension (chronic) (peripheral)
Excludes
- Varicose veins of lower extremities (I83.-)
Clinical Validation Requirements
- Doppler ultrasound showing venous reflux
- Presence of edema, skin changes
Code-Specific Risks
- Misclassification if varicose veins are the primary cause
Coding Notes
- Ensure documentation specifies 'chronic venous insufficiency' and details of any ulcers.
L97.- - Non-pressure chronic ulcer of lower limb, not elsewhere classified
Use as a secondary code to specify ulcer details when coding for venous stasis dermatitis.
Applicable To
- Ulcer of lower limb due to chronic venous insufficiency
Excludes
- Pressure ulcer (L89.-)
Clinical Validation Requirements
- Documentation of ulcer location, size, and depth
Coding Notes
Ensure ulcer details are documented, including laterality and depth.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of lower limb
L97.-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Venous Stasis Dermatitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: Inadequate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always document ulcer depth and characteristics
Impact
Reimbursement: Incorrect code may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I87.2 for chronic venous insufficiency with ulcers.
Impact
Inadequate documentation of ulcer characteristics can lead to audit issues.
Mitigation Strategy
Ensure comprehensive documentation of ulcer details.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Venous Stasis Dermatitis
Use these documentation templates to ensure complete and accurate documentation for Venous Stasis Dermatitis. These templates include all required elements for proper coding and billing.
Chronic Venous Insufficiency with Ulcer
Specialty: Vascular SurgeryRequired Elements
- History of venous insufficiency
- Ulcer characteristics
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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