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.
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.
The 2022 edition of ICD-10-CM R22. 40 became effective on October 1, 2021.
Definition: existence of the excess fluid in the lower extremity resulting in swelling of the feet and extending upward. Further classified as pitting (depress-able) and non-pitting.
ICD-10-CM Code for Edema, unspecified R60. 9.
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.
81.
ICD-10-CM Code for Fluid overload, unspecified E87. 70.
Localized swelling, mass and lump, right lower limb R22. 41 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. 41 became effective on October 1, 2021.
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 ).
Also known as nutritional edema and edematous malnutrition, bilateral pitting edema identifies a type of severe acute malnutrition (SAM) known as kwashiorkor. It is identified when thumb pressure, applied to the tops of both feet for three seconds, leaves an indentation in the foot after the thumb is lifted.
Pitting edema is commonly caused by poor circulation or the retention of excess fluids. Some common risk factors that may lead to these problems include sitting or standing in one position for too long, low protein levels, obesity, and pregnancy.