ICD-10 Coding for Venous Ulceration(I87.2, L97.322)
Complete ICD-10-CM coding and documentation guide for Venous Ulceration. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Venous Ulceration
I83-I87Primary Range
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
This range includes codes for venous insufficiency and varicose veins, which are primary causes of venous ulceration.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
This range is used to specify the severity and location 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) (peripheral) without complications | Use when venous insufficiency is present without varicose veins. |
|
| L97.322 | Non-pressure chronic ulcer of left ankle with fat layer exposed | Use to specify the severity and location of the ulcer. |
|
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 ulceration
Essential facts and insights about Venous Ulceration
Primary ICD-10-CM Codes for venous ulceration
Decision Criteria
clinical Criteria
- Presence of chronic venous insufficiency without varicose veins
Applicable To
- Chronic venous insufficiency 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 severity and location of the ulcer.
Applicable To
- Ulcer with exposed fat layer
Excludes
- Pressure ulcer of ankle (L89.-)
Clinical Validation Requirements
- Ulcer depth and location documented
Coding Notes
Ensure ulcer depth is accurately documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.51Differential 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 Ulceration to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I87.2.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document the underlying venous condition., Use appropriate ICD-10 codes for both the ulcer and its cause.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the quality of healthcare data.
Mitigation Strategy
Always specify the side of the body affected.
Impact
Using unspecified codes when specific details are available.
Mitigation Strategy
Ensure all documentation includes specific ulcer details.
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 Ulceration, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Venous Ulceration
Use these documentation templates to ensure complete and accurate documentation for Venous Ulceration. These templates include all required elements for proper coding and billing.
Follow-up visit for venous ulcer
Specialty: PodiatryRequired Elements
- Ulcer location
- Ulcer size
- Ulcer depth
- Exudate description
- Periwound condition
- Vascular assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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