Venous Stasis Ulcer ICD 9 Code Billable Medical Code for Venous (Peripheral) Insufficiency, Unspecified Diagnosis Code for Reimbursement Claim: ICD-9-CM 459.81
Chronic ulcer of unspecified site 2015 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 ICD-9-CM 707.9 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 707.9 should only be used for claims with a date of service on or before September 30, 2015.
ICD-9-CM Volume 2 Index entries containing back-references to 459.81: Insufficiency, insufficient venous (peripheral) 459.81 Stasis ulcer with varicose veins 454.0 without varicose veins 459.81 venous 459.81 Ulcer, ulcerated, ulcerating, ulceration, ulcerative 707.9 stasis (leg) (venous) 454.0 with varicose veins 454.0 without varicose veins 459.81
Venous stasis ulcer with edema and inflammation of right toe, bone necrosis; Venous stasis ulcer ICD-10-CM Diagnosis Code I87.332 [convert to ICD-9-CM] Chronic venous hypertension (idiopathic) with ulcer and inflammation of left lower extremity
You can confirm the correct code category by looking up the term “Ulcer, stasis (venous)” in the alphabetic index. It directs you to “see Varix, leg, with ulcer,” which has the subterm “without varicose veins,” which specifies code I87. 2.
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).
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 | 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.
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.
ICD-10 Code for Non-pressure chronic ulcer of unspecified part of unspecified lower leg with unspecified severity- L97. 909- Codify by AAPC.
Peripheral artery disease (PAD) and chronic venous insufficiency (CVI) both affect your blood vessels and prevent your body from getting the oxygen-rich blood that it needs. The difference between the two lies in the type of blood vessel that isn't working correctly.
Provider's guide to diagnose and code PAD Peripheral Artery Disease (ICD-10 code I73. 9) is estimated to affect 12 to 20% of Americans age 65 and older with as many as 75% of that group being asymptomatic (Rogers et al, 2011).
ICD-10 Code for Venous insufficiency (chronic) (peripheral)- I87. 2- Codify by AAPC.
Venous ulcers usually form below the knee and on the inner area of the ankle. There's sometimes little or no discomfort, unless the ulcer is infected. In other cases, venous ulcers can be painful.
Risk factors include obesity, varicose veins, blood clots in the legs, and leg injury. 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:
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.
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.
These ulcers typically occur as a result of advancing diabetes and affect weight-bearing points on the bottom of the foot. The provider must document whether the patient has type 1 or type 2 diabetes and indicate the laterality of the ulcer, as well as the location.
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