ICD-10 Coding for Venous Stasis Ulcer(I87.2, L97.322)
Complete ICD-10-CM coding and documentation guide for Venous Stasis Ulcer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Venous Stasis Ulcer
I87.2-I87.3Primary Range
Chronic venous insufficiency and chronic venous hypertension
Primary range for coding venous stasis ulcers due to chronic venous insufficiency.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
Used to specify the location, laterality, and depth of the ulcer.
Varicose veins of lower extremities with ulcer
Used when varicose veins are the underlying cause of the ulcer.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I87.2 | Chronic venous insufficiency (CVI) of lower extremities | When the ulcer is due to chronic venous insufficiency without varicose veins. |
|
| L97.322 | Non-pressure chronic ulcer of left ankle with fat layer exposed | Use to specify the ulcer's location and depth when coding with I87.2. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for venous stasis ulcer
Essential facts and insights about Venous Stasis Ulcer
Primary ICD-10-CM Codes for venous stasis ulcer
Decision Criteria
clinical Criteria
- Presence of venous reflux confirmed by duplex ultrasound.
coding Criteria
- No varicose veins present.
Applicable To
- Venous stasis ulcer without varicose veins
Excludes
- Varicose veins with ulcer (I83.0-)
L97.322 - Non-pressure chronic ulcer of left ankle with fat layer exposed
Use to specify the ulcer's location and depth when coding with I87.2.
Applicable To
- Ulcer with fat layer exposed
Excludes
- Pressure ulcer of ankle (L89.-)
Clinical Validation Requirements
- Documentation of ulcer location and depth
Coding Notes
Ensure documentation includes laterality and depth.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of lower limb
L97.-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Varicose veins of lower extremities with ulcer
I83.0-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Venous Stasis Ulcer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim rejections.
Mitigation Strategy
Use standardized templates., Double-check documentation for completeness.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I83.0- when varicose veins are the cause.
Impact
Incomplete documentation of ulcer characteristics.
Mitigation Strategy
Implement thorough documentation protocols and regular audits.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Venous Stasis Ulcer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Venous Stasis Ulcer
Use these documentation templates to ensure complete and accurate documentation for Venous Stasis Ulcer. These templates include all required elements for proper coding and billing.
Chronic Venous Insufficiency with Ulcer
Specialty: PodiatryRequired Elements
- Ulcer location and size
- Depth and tissue involvement
- Venous reflux confirmation
- ABI results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Venous Stasis Ulcer? Ask your questions below.