Find information on Venous Stasis Disease diagnosis, including clinical documentation tips, ICD-10 codes (I83), medical coding guidelines, and healthcare best practices. Learn about venous insufficiency, chronic venous insufficiency, peripheral vascular disease, leg ulcers, edema, and varicose veins related to Venous Stasis Disease. Explore resources for accurate medical coding and comprehensive clinical documentation for optimal patient care and reimbursement.
Also known as
Varicose veins of lower extremities
Dilated, tortuous veins, most commonly in the legs, causing pain or swelling.
Hemorrhoids and perianal venous thrombosis
Swollen veins around the anus or rectum, potentially forming blood clots.
Venous insufficiency (chronic)(peripheral)
Impaired venous blood flow from the legs back to the heart, leading to leg swelling.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is there ulceration?
Yes
Location of ulcer?
No
Inflammation or superficial thrombophlebitis?
When to use each related code
Description |
---|
Venous stasis disease |
Venous insufficiency |
Post-thrombotic syndrome |
Coding venous stasis without specifying affected limb (right, left, bilateral) leads to claim denials and inaccurate data.
Incorrectly coding venous stasis ulcer as simple stasis undercodes severity, impacting reimbursement and quality metrics. CDI essential.
Lack of documented clinical indicators (edema, pain, skin changes) supporting venous stasis diagnosis increases audit risk and compliance issues.
Patient presents with signs and symptoms consistent with venous stasis disease. Chief complaints include leg swelling, particularly in the lower extremities, described as edema and heaviness. The patient reports aching, throbbing leg pain exacerbated by prolonged standing or sitting and relieved by leg elevation. Visual examination reveals dilated, tortuous superficial veins, telangiectasias, and evidence of venous insufficiency. Skin changes such as hyperpigmentation, lipodermatosclerosis, and eczema are noted in the affected area. The patient denies any recent trauma or deep vein thrombosis history. Assessment includes chronic venous insufficiency, venous stasis dermatitis, and peripheral edema. Differential diagnosis includes lymphedema and cellulitis. Duplex ultrasound of the lower extremities is ordered to evaluate venous flow and rule out deep vein thrombosis. Plan of care includes compression therapy with graduated compression stockings, leg elevation exercises, and patient education regarding venous stasis disease management. Patient advised to avoid prolonged standing or sitting and encouraged to engage in regular walking and exercise to improve circulation. Follow-up appointment scheduled in two weeks to assess treatment response and adjust plan as needed. Medical coding considerations include ICD-10-CM codes for chronic venous insufficiency (I87.2), venous stasis ulcer (I83.1) if present, and associated skin conditions. Referral to a vascular specialist may be considered depending on disease progression and patient response to conservative treatment.