ICD-10-CM Billable Code

I87.332

Chronic venous hypertension (idiopathic) with ulcer and inflammation of left lower extremity

Clinical Classification Guidelines

Medical Intelligence & Overview

Chronic venous hypertension is a long-term condition where the veins in your legs struggle to return blood to the heart effectively. When this condition affects the left lower extremity, it can lead to increased pressure in the veins, resulting in tissue damage, skin ulcers, and inflammation. This specific diagnosis, categorized under ICD-10 code I87.332, reflects a case where the condition is idiopathic, meaning it develops without a clearly identifiable cause, and is characterized by the presence of ulcers and inflammation on the left leg.

Causes & Symptoms

Clinical Causes: Venous valve failure, leading to backward blood flow Obstruction or narrowing of veins (e.g., deep vein thrombosis history) Prolonged standing or sitting, impairing blood flow Obesity, which increases pressure on leg veins Inherited venous disorders or connective tissue abnormalities Previous leg injuries or surgeries that impair venous function Age-related vein elasticity loss

Key Symptoms: Swelling in the affected leg, especially after prolonged standing Heaviness or fatigue in the leg muscles Skin changes, such as discoloration or thickening Ulcers or sores that develop on the skin, often around the ankle Inflammation, redness, or warmth in the affected area Pain or aching worsening with standing and improving with elevation Itching or a sensation of tightness in the skin

Diagnostic & Treatment

Diagnosis Path: Diagnosing chronic venous hypertension involves a combination of medical history assessment and physical examination. Healthcare providers may perform:

Treatment Protocols: Managing this condition aims to improve blood flow, reduce symptoms, and promote healing of ulcers. Treatment options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is I87.332 a billable ICD-10 code?
Yes, I87.332 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I87.332?
Clinical documentation must specify the nature of Chronic venous hypertension (idiopathic) with ulcer and inflammation of left lower extremity and any associated comorbidities for accurate reporting.

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