ICD-10 Coding for Venous Stasis Disease(I87.2, I87.31)
Complete ICD-10-CM coding and documentation guide for Venous Stasis Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Venous Stasis Disease
I87.2-I87.31Primary Range
Chronic venous insufficiency and venous hypertension
These codes cover the primary etiology of venous stasis disease, focusing on chronic venous insufficiency and venous hypertension.
Non-pressure chronic ulcer of lower limb
These codes describe the manifestation of ulcers associated with venous stasis disease.
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 without specific mention of hypertension. |
|
| I87.31 | Chronic venous hypertension (idiopathic) with ulcer | Use when venous hypertension is documented as the cause of the ulcer. |
|
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 disease
Essential facts and insights about Venous Stasis Disease
Primary ICD-10-CM Codes for venous stasis disease
Decision Criteria
clinical Criteria
- Presence of chronic venous insufficiency symptoms
Applicable To
- Venous stasis
Excludes
- Varicose veins of lower extremities (I83.-)
Clinical Validation Requirements
- Duplex ultrasound showing venous reflux
- CEAP classification C4-C6
Code-Specific Risks
- Ensure documentation specifies chronic nature and location.
Coding Notes
- Always document the underlying cause and ulcer specifics.
I87.31 - Chronic venous hypertension (idiopathic) with ulcer
Use when venous hypertension is documented as the cause of the ulcer.
Applicable To
- Venous stasis with ulcer
Excludes
- Chronic venous insufficiency without ulcer (I87.2)
Clinical Validation Requirements
- Ultrasound confirming venous hypertension
- CEAP classification C6
Coding Notes
Document the link between hypertension and ulcer.
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 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: Inadequate treatment planning., Regulatory: Potential for audit issues., Financial: May affect reimbursement rates.
Mitigation Strategy
Use templates that prompt for ulcer specifics., Train staff on documentation standards.
Impact
Reimbursement: Incomplete coding may lead to reduced reimbursement., Compliance: Non-compliance with ICD-10 coding rules., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always code both the etiology (I87.2/I87.31) and the ulcer (L97.-).
Impact
Missing details on ulcer specifics and underlying venous condition.
Mitigation Strategy
Implement comprehensive 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 Stasis Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Venous Stasis Disease
Use these documentation templates to ensure complete and accurate documentation for Venous Stasis Disease. These templates include all required elements for proper coding and billing.
Chronic venous insufficiency with ulcer
Specialty: Vascular SurgeryRequired Elements
- Ulcer location and size
- CEAP classification
- Underlying venous condition
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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