2025 ICD-10-CM code O22.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth and the puerperium - Other maternal disorders predominantly related to pregnancy Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Varicose veins of the lower extremities during pregnancy.
Modifiers may be required depending on the services performed.Consult the appropriate coding guidelines for specific modifiers.
Medical necessity for management would generally be established based on the presence of symptomatic varicose veins, particularly if they cause significant pain, swelling, or other complications impacting the patient's well-being or ability to perform daily activities.Severe cases might necessitate intervention.
The clinical responsibility for managing O22.0 would fall upon an obstetrician or a healthcare provider specializing in maternal care.Depending on the severity of the varicose veins and any associated complications, consultation with a vascular surgeon might be necessary.
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- O22-O29 (Other maternal disorders predominantly related to pregnancy)
In simple words: Varicose veins are swollen, twisted veins that usually appear in the legs.They can develop or get worse during pregnancy because of hormonal changes and increased blood volume.
This code signifies the presence of varicose veins (abnormally dilated, tortuous veins) specifically located in the lower extremities (legs) that develop or are exacerbated during pregnancy.The condition arises from hormonal changes and increased blood volume associated with pregnancy, leading to impaired venous return and subsequent vein dilation.It is important to note that this code is only to be used on the maternal record and not for the newborn.
Example 1: A 32-year-old pregnant woman at 28 weeks gestation presents with new onset pain and swelling in her right leg associated with visible varicose veins.Physical exam reveals dilated and tortuous veins along her medial calf.She reports increased leg heaviness and discomfort., A 35-year-old pregnant woman at 36 weeks gestation experiencing worsening leg pain and edema from previously present varicose veins.She has tried compression stockings but is experiencing increased discomfort.She reports difficulty sleeping due to leg pain and swelling., A 28-year-old woman in her second trimester of pregnancy reports increasing leg pain and swelling.She's had varicose veins before, but they have become significantly worse during this pregnancy.She is also experiencing pain associated with superficial thrombophlebitis in her left leg.
Detailed medical history, including onset, location, and severity of varicose veins. Physical examination documenting the presence, size, and location of varicose veins.Any associated symptoms such as pain, swelling, or skin changes should be documented.Note if compression stockings were used and their efficacy.Consider any diagnostic testing performed, such as Doppler ultrasound if thrombosis is suspected.
** Always ensure proper documentation to support the diagnosis.This code is for use on maternal records only, never on newborn records.Always verify the latest coding guidelines and updates for accurate billing and coding practices.
- Revenue Code: Revenue codes will vary depending on the specific services rendered and the payer.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures performed and other factors.
- Global Days: Not applicable for ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable for ICD-10 codes.
- Fee Schedule: Not applicable for ICD-10 codes.
- Specialties:Obstetrics and Gynecology, Vascular Surgery
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital