Venous insufficiency (chronic) (peripheral)
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Unilateral edema suggests local insults like DVT, cellulitis, venous obstruction, or lymphatic obstruction from tumor and radiation treatment. On the other hand, bilateral edema suggests systemic diseases such as CHF, liver failure, kidney disease, or severe malabsorption syndromes.
Localized swelling, mass and lump, lower limb, bilateral R22. 43 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 R22. 43 became effective on October 1, 2021.
The 2022 edition of ICD-10-CM R22. 40 became effective on October 1, 2021.
R60. 0 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 R60. 0 became effective on October 1, 2021.
Oedema can be classified as venous oedema and lymphoedema. Lymphoedema of the lower extremities is usually bilateral. Unilateral leg lymphoedema may occur secondary to radiation, surgery, compression by a tumour or early filariasis infection.
ICD-10-CM Code for Edema, unspecified R60. 9.
81.
Lower extremity edema is the accumulation of fluid in the lower legs, which may or may not include the feet (pedal edema). It is typically caused by one of three mechanisms. The first is venous edema caused by increased capillary permeability, resulting in a fluid shift from the veins to the interstitial space.
Anasarca is a medical condition that leads to general swelling of the whole body. It happens when your body tissues retain too much fluid due to several reasons. It differs from other types of edema that affect one or two parts of the body. The condition is also known as extreme generalized edema or massive edema.
ICD-10-CM Code for Fluid overload, unspecified E87. 70.
The differential diagnosis of bilateral lower extremity edema includes venous thrombosis, heart failure, liver failure, nephrotic syndrome, hypothyroid myxedema, and venous insufficiency. The progressive swelling of lymphedema is often soft with pitting at onset and then advances to the classic firm, nonpitting edema.
Bilateral or generalized swelling suggests a systemic cause, such as CHF (especially right-sided), pulmonary hypertension, chronic renal or hepatic disease (causing hypoalbuminemia), protein-losing enteropathies, or severe malnutrition. 1,4,5. Edema can be an adverse effect of certain medications (Table 31–5 ).
Bilateral oedema is often caused by heart failure, deep vein insufficiency or prolonged standing. Leg oedema of cardiac origin is always accompanied by other symptoms or findings of heart failure «Chronic heart failure»11. Venous leg oedema may be associated with stasis dermatitis or varicose veins.