ICD-10-CM Billable Code

I83.01

Varicose veins of right lower extremity with ulcer

Clinical Classification Guidelines

Medical Intelligence & Overview

Varicose veins are swollen, twisted veins that are visible just under the surface of the skin. When these veins occur in the lower extremities, particularly on the right side, and are accompanied by an ulcer, it indicates a more complicated form of venous disease known as varicose veins with ulceration. This condition can cause discomfort, skin changes, and a troublesome wound that may require medical attention. Recognizing the signs, causes, and possible treatment options can help in managing the condition effectively.

Causes & Symptoms

Clinical Causes: Chronic venous insufficiency where the valves in the veins weaken, causing blood to pool. Prolonged standing or sitting, which increases pressure in the veins of the legs. Genetic predisposition leading to weaker vein walls or valves. Obesity contributing to increased pressure on leg veins. History of deep vein thrombosis (DVT) or other venous problems. Age-related changes that weaken vein structures. Hormonal factors during pregnancy or hormone therapy that impact venous tone.

Key Symptoms: Visible, enlarged, and twisted veins mainly on the right lower leg. Aching, heaviness, or a feeling of fullness in the affected leg. Swelling in the lower limb, especially after long periods of standing. Skin changes such as discoloration or eczema around the affected veins. Development of ulcers, typically near the ankle, which may be painful and slow to heal. Cramping or restless leg sensations, especially at night. Itching or irritated skin in the area of the varicose veins.

Diagnostic & Treatment

Diagnosis Path: Diagnosing this condition involves a physical examination where a healthcare provider assesses the appearance of the veins and skin. Further diagnostic tests include:

Treatment Protocols: Managing varicose veins with ulcers often involves a combination of lifestyle changes, medical procedures, and wound care. Common approaches 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 I83.01 a billable ICD-10 code?
Yes, I83.01 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I83.01?
Clinical documentation must specify the nature of Varicose veins of right lower extremity with ulcer and any associated comorbidities for accurate reporting.

Cite this Clinical Reference