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2025 ICD-10-CM code I87.2

Chronic peripheral venous insufficiency. This condition involves inadequate blood flow from the extremities back to the heart.

Excludes1: stasis dermatitis with varicose veins of lower extremities (I83.1-, I83.2-) Excludes2: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth and the puerperium (O00-O9A), congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99), endocrine, nutritional and metabolic diseases (E00-E88), injury, poisoning and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94), systemic connective tissue disorders (M30-M36), transient cerebral ischemic attacks and related syndromes (G45.-).

Medical necessity is established by the presence of signs and symptoms of venous insufficiency, impacting the patient's daily activities and quality of life. Treatment aims to improve blood flow, reduce symptoms, and prevent complications like venous ulcers.

Clinicians diagnosing and managing venous insufficiency, including primary care physicians, vascular specialists, and other healthcare professionals involved in wound care or lower extremity conditions.

In simple words: This code describes a long-term condition where the veins in your legs don't efficiently return blood to the heart, causing blood to pool in the legs.

Venous insufficiency (chronic) (peripheral).It is characterized by pooling of blood in the veins of the legs due to incompetent venous valves or venous obstruction, leading to symptoms like swelling, pain, and skin changes.  Code also, if applicable, associated hypertensive conditions such as essential (primary) hypertension (I10), hypertensive chronic kidney disease (I12.-), hypertensive heart and chronic kidney disease (I13.-), hypertensive heart disease (I11.-). Use additional code, if applicable, to specify site and severity of ulcer (L97.-).

Example 1: A patient presents with leg swelling, aching, and varicose veins, diagnosed with chronic venous insufficiency., A patient with a history of deep vein thrombosis develops chronic venous insufficiency and a venous stasis ulcer., A patient experiences leg pain and skin discoloration, diagnosed with chronic venous insufficiency due to venous valve dysfunction.

Detailed clinical findings such as leg swelling, pain, skin changes (e.g., discoloration, thickening, or ulceration), and results of diagnostic tests like venous duplex ultrasound are essential for accurate coding.

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