ICD-10 Coding for Venous Stasis(I87.2, I87.31-, L97.-)
Complete ICD-10-CM coding and documentation guide for Venous Stasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Venous Stasis
I87.2-I87.3Primary Range
Chronic venous insufficiency and hypertension
Primary range for coding chronic venous insufficiency and related conditions.
Non-pressure chronic ulcer of lower limb
Used to specify the location and severity of ulcers associated with venous stasis.
Varicose veins of lower extremities with ulcer
Used when varicose veins are the underlying cause of the ulcer.
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 chronic venous insufficiency is present without ulceration. |
|
| I87.31- | Chronic venous hypertension (idiopathic) with ulcer | Use when chronic venous hypertension is present with ulceration. |
|
| L97.- | Non-pressure chronic ulcer of lower limb | Use to specify the location and severity of a non-pressure 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
Essential facts and insights about Venous Stasis
Primary ICD-10-CM Codes for venous stasis
Decision Criteria
clinical Criteria
- Documented venous reflux and clinical signs of CVI.
Applicable To
- Chronic venous stasis
Excludes
- Varicose veins (I83.-)
Clinical Validation Requirements
- Venous duplex showing reflux >0.5 sec
- Hemosiderin staining on physical exam
Code-Specific Risks
- Confusion with varicose veins coding
Coding Notes
- Ensure documentation specifies the absence of varicose veins.
I87.31- - Chronic venous hypertension (idiopathic) with ulcer
Use when chronic venous hypertension is present with ulceration.
Applicable To
- Chronic venous hypertension with ulcer
Excludes
- Varicose veins (I83.-)
- DVT-related hypertension
Clinical Validation Requirements
- Ultrasound confirming venous hypertension
- Presence of ulceration
Coding Notes
Ensure proper sequencing: etiology before manifestation.
L97.- - Non-pressure chronic ulcer of lower limb
Use to specify the location and severity of a non-pressure ulcer.
Applicable To
- Chronic ulcer of lower limb
Excludes
- Pressure ulcer (L89.-)
Clinical Validation Requirements
- Wound measurement and depth documentation
Coding Notes
Ensure ulcer depth and laterality are documented.
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.-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 to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: Misrepresents patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always include etiology in documentation.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I83.0- codes instead.
Impact
Reimbursement: Claims may be denied for lack of specificity., Compliance: Fails to meet documentation standards., Data Quality: Reduces accuracy of patient records.
Mitigation Strategy
Always specify laterality in documentation.
Impact
Inadequate documentation of ulcer depth and location.
Mitigation Strategy
Implement thorough wound assessment protocols.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Venous Stasis
Use these documentation templates to ensure complete and accurate documentation for Venous Stasis. These templates include all required elements for proper coding and billing.
Chronic Venous Insufficiency with Ulcer
Specialty: Wound CareRequired Elements
- Etiology of ulcer
- Ulcer location and depth
- Venous reflux confirmation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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