ICD-10 Coding for Venous Varices(I83.90, I83.11)
Complete ICD-10-CM coding and documentation guide for Venous Varices. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Venous Varices
I83Primary Range
Varicose veins of lower extremities
Primary range for varicose veins affecting the lower extremities, including complications such as ulcers and inflammation.
Varicose veins of other sites
Used for varicose veins in non-lower extremity sites such as the scrotum, vulva, and stomach.
Other disorders of veins
Includes chronic venous insufficiency, often coded alongside varicose veins when both conditions are present.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I83.90 | Asymptomatic varicose veins of unspecified lower extremity | Use when varicose veins are present without symptoms or complications, and laterality is unspecified. |
|
| I83.11 | Varicose veins of right lower extremity with inflammation | Use when varicose veins are present with inflammation in the right lower extremity. |
|
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 asymptomatic varicose veins
Essential facts and insights about Venous Varices
Primary ICD-10-CM Codes for venous varices
Decision Criteria
documentation Criteria
- Document laterality and absence of symptoms
Applicable To
- Asymptomatic varicose veins
Excludes
- Varicose veins with complications
Clinical Validation Requirements
- Physical exam showing visible varicosities without symptoms
Code-Specific Risks
- Risk of denial if laterality is not specified
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
I83.11 - Varicose veins of right lower extremity with inflammation
Use when varicose veins are present with inflammation in the right lower extremity.
Applicable To
- Varicose veins with inflammation
Excludes
- Varicose veins with ulcer
Clinical Validation Requirements
- Physical exam showing inflammation
- Duplex ultrasound confirming reflux
Coding Notes
Document inflammation and laterality clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic venous insufficiency (CVI) of lower extremities
I87.2Differential 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 Varices to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I83.90.
Impact
Clinical: Inaccurate clinical records, Regulatory: Non-compliance with documentation standards, Financial: Potential for claim denials
Mitigation Strategy
Use structured templates to ensure all necessary details are documented.
Impact
Reimbursement: Potential claim denials or reduced reimbursement, Compliance: Non-compliance with coding guidelines, Data Quality: Poor data quality and inaccurate health records
Mitigation Strategy
Always document and code laterality to avoid unspecified codes.
Impact
High risk of audit for using unspecified codes without laterality.
Mitigation Strategy
Always document laterality and specific symptoms or complications.
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 Varices, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Venous Varices
Use these documentation templates to ensure complete and accurate documentation for Venous Varices. These templates include all required elements for proper coding and billing.
Varicose veins with inflammation
Specialty: Vascular SurgeryRequired Elements
- Patient history
- Physical exam findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Venous Varices? Ask your questions below.