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I87.2
ICD-10-CM
Venous Stasis Disease

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

Chronic Venous Insufficiency
Venous Stasis Ulcer

Diagnosis Snapshot

Key Facts
  • Definition : Poor blood return from legs to heart, causing leg swelling.
  • Clinical Signs : Swollen ankles, leg pain, varicose veins, skin changes, ulcers.
  • Common Settings : Primary care, vascular clinics, wound care centers.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC I87.2 Coding
I83.0-I83.9

Varicose veins of lower extremities

Dilated, tortuous veins, most commonly in the legs, causing pain or swelling.

I84.0-I84.9

Hemorrhoids and perianal venous thrombosis

Swollen veins around the anus or rectum, potentially forming blood clots.

I87.2

Venous insufficiency (chronic)(peripheral)

Impaired venous blood flow from the legs back to the heart, leading to leg swelling.

Code-Specific Guidance

Decision Tree for

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?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Venous stasis disease
Venous insufficiency
Post-thrombotic syndrome

Documentation Best Practices

Documentation Checklist
  • Venous stasis disease diagnosis code
  • Document clinical findings: edema, skin changes
  • Duplex ultrasound results confirming venous reflux
  • Describe location and severity of venous insufficiency
  • Assess and document pain, aching, or discomfort

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding venous stasis without specifying affected limb (right, left, bilateral) leads to claim denials and inaccurate data.

  • Ulcer vs. Stasis

    Incorrectly coding venous stasis ulcer as simple stasis undercodes severity, impacting reimbursement and quality metrics. CDI essential.

  • Clinical Indicators Missing

    Lack of documented clinical indicators (edema, pain, skin changes) supporting venous stasis diagnosis increases audit risk and compliance issues.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (I83.x) for VSD severity.
  • Thorough documentation of CEAP classification for VSD.
  • Regular duplex ultrasound for objective VSD diagnosis.
  • Specific clinical indicators: edema, skin changes, ulcers.
  • Ensure compliance with venous insufficiency guidelines.

Clinical Decision Support

Checklist
  • 1. Leg pain aching heaviness edema Present?
  • 2. Varicose veins telangiectasias lipodermatosclerosis documented?
  • 3. Atrophie blanche corona phlebectatica noted?
  • 4. Hemosiderin staining ulceration located measured?

Reimbursement and Quality Metrics

Impact Summary
  • Venous Stasis Disease: Reimbursement and Quality Metrics Impact Summary
  • Keywords: Venous stasis ulcer, ICD-10 I83, medical billing, coding accuracy, hospital quality reporting, reimbursement rates, Hierarchical Condition Category (HCC), RAF score
  • Impact 1: Accurate I83 coding impacts venous stasis ulcer reimbursement rates.
  • Impact 2: Proper HCC coding affects risk adjustment factor (RAF) score and payments.
  • Impact 3: Venous ulcer care quality metrics influence hospital value-based purchasing programs.
  • Impact 4: Comprehensive documentation improves coding accuracy and reduces claim denials.

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 for VSD, specify location
  • Document clinical signs like edema, ulcers
  • Use I87.2 for venous insufficiency ulcer
  • Include duplex ultrasound findings for accuracy
  • Consider I70 for atherosclerosis if present

Documentation Templates

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.