ICD Code I87.2

ICD code I87.2 is used to identify and classify the condition of chronic venous insufficiency, which is a medical condition where the veins in the legs are unable to efficiently return blood back to the heart, often leading to symptoms such as swelling, pain, and varicose veins. This code is crucial for healthcare providers to accurately document and manage treatment plans for patients experiencing this condition.

1. Presence of Varicose Veins: Patients exhibiting visible, enlarged, and twisted veins, often in the legs, which may be accompanied by discomfort or pain.

2. Edema: Persistent swelling in the lower extremities, particularly around the ankles and feet, which may worsen after prolonged periods of standing or sitting.

3. Skin Changes: Alterations in skin texture and color, such as hyperpigmentation, eczema, or lipodermatosclerosis, often occurring around the ankles or lower legs.

4. Leg Pain or Discomfort: Aching, throbbing, or a feeling of heaviness in the legs, especially after standing or sitting for extended periods.

5. Ulceration: Development of venous ulcers, typically around the ankles, which are slow to heal and may recur.

6. History of Deep Vein Thrombosis (DVT): A past medical history indicating previous episodes of DVT, which can contribute to chronic venous insufficiency.

7. Venous Reflux: Diagnostic imaging, such as Doppler ultrasound, confirming the presence of venous reflux or incompetence in the superficial or deep venous systems.

8. Family History: A family history of venous insufficiency or related venous disorders, which may increase the likelihood of developing the condition.

9. Lifestyle Factors: Consideration of lifestyle factors such as prolonged immobility, obesity, or pregnancy, which can exacerbate symptoms of venous insufficiency.

10. Symptom Persistence: Symptoms that persist or worsen over time, despite conservative management efforts such as compression therapy or lifestyle modifications.

For the ICD code I87.2, which pertains to venous insufficiency (chronic) (peripheral), the relevant CPT codes that may be applicable for treatment include:

1. 36475 - Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated.

2. 36476 - Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites.

3. 36478 - Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated.

4. 36479 - Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through separate access sites.

5. 37718 - Ligation, division, and stripping, short saphenous vein.

6. 37722 - Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below.

7. 37735 - Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of perforating veins, when performed.

8. 37760 - Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open, 1 leg.

9. 37761 - Ligation of perforator veins, subfascial, including ultrasound guidance, when performed, 1 leg.

These CPT codes are typically used for procedures aimed at treating chronic venous insufficiency and may vary based on the specific treatment approach and the healthcare provider's clinical judgment. Always ensure that the selected CPT codes align with the specific services provided and are supported by the patient's medical documentation.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code I87.2. Schedule a demo today to see how RevFind can ensure you're receiving the full reimbursement you deserve.