coexist in the same patient. Ulcers that form at ankle, calf, or pretibial sites are likely secondary to venous reflux (Figure 1). Any ulcer in a diabetic patient is by convention consid-ered a diabetic ulcer. Pressure ulcers are known to occur on those areas subject to pressure, such as over the heel in a bedridden patient or over the
Early symptoms of chronic venous insufficiency, like achy legs, might not seem serious. If left untreated, the condition may progress. Serious complications can arise from untreated chronic venous insufficiency. Poor circulation in the legs can cause ulcers to develop. These ulcers may be painful and slow to heal.
Venous Ulcers
Rationale: The stasis ulcer caused by venous insufficiency is captured first with the code for underlying disease (459.81) followed by the code for the location of the ulcer (707.13).
ICD-10 | Venous insufficiency (chronic) (peripheral) (I87. 2)
Venous ulcers (also known as venous stasis ulcers or nonhealing wounds) are open wounds occurring around the ankle or lower leg. They do not heal for weeks or months, and occasionally persist longer.
ICD-10 Code for Non-pressure chronic ulcer of unspecified part of unspecified lower leg with unspecified severity- L97. 909- Codify by AAPC.
Chronic venous insufficiency (CVI) is a condition that occurs when the venous wall and/or valves in the leg veins are not working effectively, making it difficult for blood to return to the heart from the legs. CVI causes blood to “pool” or collect in these veins, and this pooling is called stasis.
The terms varicose veins and chronic venous insufficiency (CVI) are often used interchangeably. But in fact, CVI refers to a broader range of vascular disorders than just swollen veins. You can have CVI but not see varicose veins on your legs or feet. Chronic venous insufficiency is also called venous reflux.
Venous skin ulcers are caused by poor circulation in the legs caused by damaged valves that prevent blood from flowing the wrong way, allowing blood to pool in the legs. Pressure ulcers, on the other hand, are caused by sustained pressure on an area of the body, which cuts off blood flow.
There are four (4) common types of skin ulcers: venous stasis ulcers, arterial ulcers, diabetic neuropathic ulcers and pressure ulcers. Three (3) of these ulcer types are exclusively lower-extremity wounds located on the foot, ankle and lower leg: venous stasis ulcers, arterial ulcers, and diabetic neuropathic ulcers.
A stasis ulcer is a breakdown of the skin (ulcer) caused by fluid build-up in the skin from poor vein function (venous insufficiency). Fluid leaks from the veins into skin tissue when the blood backs up rather than returning to the heart through the veins.
Chronic venous hypertension (idiopathic) with ulcer of left lower extremity. I87. 312 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I87.
499: Non-pressure chronic ulcer of skin of other sites with unspecified severity.
998.83 - Non-healing surgical wound | ICD-10-CM.
When the walls or valves of the veins are weak or dont work properly, blood in the veins can flow backwards and pool in your legs. Valve problems can result from vein disorders such as chronic venous insufficiency or deep vein thrombosis .
The General Equivalency Mapping crosswalk indicates an approximate mapping between the ICD-10 code I83.019 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Several surgical procedures are available to treat the wound directly or address an underlying problem, including:
Wound care is an important part of treatment for venous ulcers. The goal of wound care management is to encourage the ulcers to heal more quickly. This includes:
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code. The following references for the code L97.909 are found in the index:
Two layers of skin created from animal sources as a skin graft has been found to be useful in venous leg ulcers.
Which treatment you get depends on which vascular disease you have and how severe it is. Types of treatments for vascular diseases include