ICD-10-CM Billable Code

I87.302

Chronic venous hypertension (idiopathic) without complications of left lower extremity

Clinical Classification Guidelines

Medical Intelligence & Overview

Chronic venous hypertension, particularly of the idiopathic type affecting the left lower extremity, involves increased pressure within the veins of the leg. This condition can lead to various symptoms and changes in the skin and tissues, even though it may not initially present with obvious complications. Recognizing the signs, causes, and management options can help in understanding this condition better.

Causes & Symptoms

Clinical Causes: Primary or idiopathic vein valve dysfunction Genetic predisposition affecting vein structure Prolonged standing or sitting leading to increased venous pressure Obesity contributing to increased pressure on leg veins History of venous inflammation or minor vein injuries Structural abnormalities in the venous system Loss of elasticity of the vein walls over time

Key Symptoms: A sensation of heaviness or fullness in the affected leg Swelling, especially after long periods of standing or inactivity Visible dilated veins or varicose veins Leg fatigue or aching pain Skin discoloration or hyperpigmentation around the ankle Itching or mild skin irritation Rarely, skin ulceration in the affected area

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a comprehensive medical history and physical examination focusing on vein health and skin changes. Diagnostic tests may include:

Treatment Protocols: Management of idiopathic chronic venous hypertension aims to alleviate symptoms and prevent progression. Typically, the treatment plan includes:

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 I87.302 a billable ICD-10 code?
Yes, I87.302 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I87.302?
Clinical documentation must specify the nature of Chronic venous hypertension (idiopathic) without complications of left lower extremity and any associated comorbidities for accurate reporting.

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