I87.31
Chronic venous hypertension (idiopathic) with ulcer
Clinical Classification Guidelines
Use Additional Code
- code to specify site and severity of ulcer (L97.-)
Medical Intelligence & Overview
Chronic venous hypertension with ulcer (ICD-10 I87.31) is a condition characterized by increased pressure in the veins of the legs, which can lead to the development of ulcers on the skin. This condition often results from longstanding venous insufficiency, where blood struggles to return from the legs to the heart, causing pooling and increased pressure. The term 'idiopathic' indicates that the exact cause of the venous hypertension is unknown. It is essential to understand the causes, symptoms, diagnosis, and management options to effectively address this condition and improve quality of life.
Causes & Symptoms
Clinical Causes: Chronic venous insufficiency due to faulty valves within the leg veins Obstruction of venous flow from blood clots or tumors Prolonged standing or sitting, leading to increased venous pressure History of leg trauma or injury Genetic factors that predispose to weak vein walls or valve function Obesity, which puts extra pressure on leg veins Previous venous ulcers or skin infections that impair circulation Inactivity or lack of physical movement affecting circulation
Key Symptoms: Swelling in the legs or ankles, especially after standing or sitting for long periods Discoloration or darkening of the skin around the ankles Skin changes such as thickening, hardening (lipodermatosclerosis), or eczema Presence of open sores or ulcers, often located near the ankles Persistent pain or aching in the legs, particularly at the end of the day Itching or skin irritation in affected areas Feeling of heaviness or fatigue in the legs
Diagnostic & Treatment
Diagnosis Path: Diagnosing chronic venous hypertension with ulcer involves several steps. Healthcare providers typically perform a physical examination focusing on skin changes, swelling, and ulcer characteristics. They may also use diagnostic tests such as:
Treatment Protocols: Management of chronic venous hypertension with ulcers focuses on improving venous circulation, promoting ulcer healing, and preventing recurrence. Treatment options include:
Clinical Advice & FAQs
Billing Guidance
Is I87.31 a billable ICD-10 code?
Yes, I87.31 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report I87.31?
Clinical documentation must specify the nature of Chronic venous hypertension (idiopathic) with ulcer and any associated comorbidities for accurate reporting.
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