Venous insufficiency (chronic) (peripheral) I87.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM I87.2 became effective on October 1, 2018.
Venous insufficiency (chronic) (peripheral)
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.
Chronic venous hypertension (idiopathic) with ulcer of unspecified lower extremity. I87. 319 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.
ICD-10-CM Code for Venous insufficiency (chronic) (peripheral) I87. 2.
ICD-10 Code for Unspecified open wound, right lower leg, initial encounter- S81. 801A- Codify by AAPC.
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.
I87. 2 - Venous insufficiency (chronic) (peripheral). ICD-10-CM.
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 Code for Unspecified open wound, left lower leg, initial encounter- S81. 802A- Codify by AAPC.
S81. 802A - Unspecified open wound, left lower leg [initial encounter] | ICD-10-CM.
The types of open wounds classified in ICD-10-CM are laceration without foreign body, laceration with foreign body, puncture wound without foreign body, puncture wound with foreign body, open bite, and unspecified open wound. For instance, S81. 812A Laceration without foreign body, right lower leg, initial encounter.
Venous ulcers, also referred to as stasis, insufficiency or varicose ulcers, are the result of malfunctioning venous valves causing pressure in the veins to increase. These typically occur along the medial or lateral distal (lower) leg.
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.
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.
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
Coding guidelines for venous stasis ulcers require that the provider must indicate the presence of varicose veins, laterality, inflammation, and the severity of the venous stasis ulcer. Documentation and coding include: Varicose veins of the right lower extremity with both ulcer and inflammation on the calf, I83.212.
Typical descriptors for the skin status include the following: Shear – stretching of the tissues when a patient's body is moved up in bed.
Click image below to see larger detail. Venous Stasis Ulcers. A venous stasis ulcer is a breakdown of skin caused by fluid buildup from poor vein function (i.e., venous insufficiency). Risk factors include obesity, varicose veins, blood clots in the legs, and leg injury.
Diabetic or neurotropic ulcers are foot ulcers that are open sores or wounds on the feet that do not completely heal or return after initial healing. These ulcers typically occur as a result of advancing diabetes and affect weight-bearing points on the bottom of the foot.
Pressure Ulcers. A pressure ulcer is an injury to the skin occurring when a patient sits too long or remains in the same position. When this happens, the cells and tissue in that area die, resulting in an open sore. In severe cases, the muscle, tendon, or bone may begin to show.
Pressure ulcers occur on pressure points, such as the tailbone, buttocks, elbows, heels, and hips. Click image below to see larger detail. There are four stages of pressure ulcers. The table in Figure 2 provides details on each stage. The physician must document the presence of a pressure ulcer.
The occurrence of an arterial ulcer is a risk factor of PAD. The provider must document atherosclerosis of native arteries, including laterality, and indicate the location and severity of the ulcer. An arterial ulcer can be coded as: Atherosclerosis of native arteries of left ankle with ulceration, I70.243.
NEC Not elsewhere classifiableThis abbreviation in the Tabular List represents other specified. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the other specified code.
I87.311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
I87.312 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Venous stasis ulcer is a shallow would that occurs on the skin when the veins in the leg do not return blood back to the heart as normal. Symptoms are ulcers forming on the sides of the leg above the ankle and below the calf, the skin becoming dark red or purple over areas that blood is leaking out of the vein and dry, itchy skin.
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.
Which treatment you get depends on which vascular disease you have and how severe it is. Types of treatments for vascular diseases include