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I83.10
ICD-10-CM
Stasis Dermatitis

Find comprehensive information on stasis dermatitis, including clinical documentation tips, ICD-10 codes (I83.1), medical coding guidelines, and healthcare best practices for diagnosis and treatment. Learn about venous insufficiency, edema, lipodermatosclerosis, and other related conditions. This resource provides valuable insights for physicians, nurses, medical coders, and other healthcare professionals seeking accurate and up-to-date information on stasis dermatitis management.

Also known as

Venous Stasis Dermatitis
Gravitational Dermatitis
Venous Eczema

Diagnosis Snapshot

Key Facts
  • Definition : Skin inflammation due to poor circulation, typically in the lower legs.
  • Clinical Signs : Swelling, redness, itching, scaling, ulcers, and brownish discoloration.
  • Common Settings : Venous insufficiency, varicose veins, and congestive heart failure.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC I83.10 Coding
I83.0-I83.9

Varicose veins of lower extremities

Stasis dermatitis often arises from venous insufficiency and varicose veins.

I87.2

Venous insufficiency (chronic) (peripheral)

Underlying venous insufficiency is a key factor in stasis dermatitis development.

L97.9

Ulcer of lower leg, unspecified

Stasis dermatitis can lead to leg ulcers if left untreated.

L80

Vitiligo

While not directly related, stasis dermatitis can sometimes be misdiagnosed as other skin conditions.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the stasis dermatitis acute?

  • Yes

    Code I83.109 Acute venous stasis dermatitis of unspecified lower extremity

  • No

    Which lower extremity?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Skin inflammation due to poor circulation
Allergic contact dermatitis
Nummular eczema

Documentation Best Practices

Documentation Checklist
  • Stasis dermatitis diagnosis: Location, laterality documented
  • Venous insufficiency signs (edema, varicose veins) noted
  • Skin changes: erythema, scaling, hyperpigmentation described
  • Ulceration, if present, documented with size and location
  • Hx of venous disease, CHF, or DVT considered and documented

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding stasis dermatitis without specifying laterality (right, left, or bilateral) can lead to claim denials and inaccurate data reporting. Use ICD-10-CM guidelines for laterality.

  • Ulcer vs. Dermatitis

    Miscoding stasis ulcers (I83.1-) as stasis dermatitis (I83.810) or vice versa can result in incorrect severity and reimbursement. Accurate clinical documentation is crucial.

  • Missing Etiology Code

    Failing to code the underlying cause of stasis dermatitis, such as venous insufficiency (I87.-), can impact quality reporting and risk adjustment. Ensure complete documentation.

Mitigation Tips

Best Practices
  • Elevate legs, compression therapy (ICD-10 I83.0, I87.2)
  • Moisturize dry skin, avoid irritants (L98.4, L23.8)
  • Manage underlying venous insufficiency (I83.9, I87.8)
  • Topical corticosteroids for inflammation (L98.9, L30.9)
  • Proper wound care if ulceration present (L97, L89)

Clinical Decision Support

Checklist
  • 1. Edema signs in lower legs? (ICD-10 I87.2)
  • 2. Hemosiderin staining/lipodermatosclerosis? Document.
  • 3. Venous insufficiency confirmed? (e.g., Duplex ultrasound)
  • 4. Exclude cellulitis, DVT, contact dermatitis. Rule out other causes.
  • 5. Assess ulceration, infection risk. Patient education provided.

Reimbursement and Quality Metrics

Impact Summary
  • Stasis Dermatitis reimbursement hinges on accurate ICD-10 I83.1 code assignment and supporting documentation for medical necessity.
  • Coding errors for Stasis Dermatitis (I83.1) impact hospital revenue cycle, denials, and potential RAC audits.
  • Quality metrics for Stasis Dermatitis include wound healing rates, infection prevention, and patient-reported outcomes.
  • Proper documentation of ulcer severity and related complications improves Stasis Dermatitis case mix index CMI for appropriate reimbursement.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code I83.81 for stasis dermatitis
  • Document ulcer location, size, and characteristics
  • Consider L97.419 for non-pressure ulcers due to stasis
  • Don't code I83.1 with I83.81
  • Query physician if stasis is due to venous insufficiency

Documentation Templates

Patient presents with complaints consistent with stasis dermatitis.  Examination reveals signs of venous insufficiency including edema, hemosiderin staining, and lipodermatosclerosis in the lower extremities, specifically the [Location: e.g., medial ankle, pretibial area].  Skin changes present as erythema, scaling, pruritus, and xerosis.  Patient reports [Symptoms: e.g., aching, heaviness, itching, pain] aggravated by prolonged standing.  Venous stasis eczema and venous insufficiency dermatitis are considered in the differential diagnosis.  Assessment includes evaluation for peripheral edema, varicose veins, and ulceration.  The affected skin exhibits [Skin characteristics: e.g., weeping, crusting, fissuring, lichenification] indicative of chronic venous insufficiency.  No signs of cellulitis or deep vein thrombosis were observed.  Diagnosis of stasis dermatitis confirmed based on clinical presentation and history.  Plan includes leg elevation, compression therapy with [Type of compression: e.g., compression stockings, bandages], and topical corticosteroids [Strength and formulation: e.g., triamcinolone acetonide 0.1% cream].  Patient education provided regarding skin care, proper application of compression therapy, and importance of regular follow-up.  Return visit scheduled in [Timeframe: e.g., two weeks] to monitor treatment progress and assess for improvement in skin integrity and reduction of symptoms.  Medical coding will include ICD-10 code I83.1 for stasis dermatitis and CPT codes for the evaluation and management services provided as well as application of compression therapy if applicable.