Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I87. Code Classification: Diseases of the circulatory system (I00–I99) Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89) Other disorders of veins (I87) I87. Background To explore the diagnostic performance of triggered angiography non-contrast-enhanced magnetic resonance imaging (TRANCE-MRI) for the evaluation of venous pathology of the lower extremity. ICD-10-CM I77. I87. ICD-10-CM Diagnosis Code I87. 2024 ICD-10-CM Code I89. These individuals are often found to have had previous axillary-subclavian vein thrombosis that was unrecognized and/or untreated. I87. 11 Although VVs are often thought as a localized dysfunction in the lower limb veins, pathological changes may be present in other distant veins beyond those in the lower limb. 71 - other international versions of ICD-10 Z86. The 2024 edition of ICD-10-CM I87. It is due to inflammation, and less commonly, with infection of the vein. I87. The following are key points to remember from this review on the diagnosis and treatment of lower extremity venous thromboembolism (VTE): Lower extremity VTE is common, with incidence estimates between 88-112 per 100,000 person-years. 37765 Stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions 37766 Stab phlebectomy of varicose veins, one extremity; more than 20 incisions 37780 Ligation and division of short saphenous vein at saphenopopliteal junction 37785 Ligation, division, and/or excision of varicose vein cluster(s), one leg 76942Introduction. Applicable To. 2 A recent study found that telangiectasias occur in 43% of men and 55% of women, and varicose. It is characterized by chronic pelvic pain of more than six months duration with no evidence of inflammatory disease. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The Wound, Ostomy and Continence Nurses (WOCN) Society charged a task force with updating the venous leg ulcer (VLU) algorithm to include the addition of lymphedema with the new title of “Compression for Lower Extremity Venous Disease and Lymphedema (CLEVDAL). Right thigh cellulitis. 8,. Stasis dermatitis is a chronic inflammatory skin disease of the lower extremities. DVT is the primary cause of pulmonary embolism. 93 is applicable to adult patients aged 15 -. Chronic embolism and thrombosis of other specified deep vein of lower extremity, bilateral. 039 [convert to ICD-9-CM] Postthrombotic syndrome with ulcer and inflammation of unspecified lower extremity. ↓ See below for any exclusions, inclusions or. 0): 299 Peripheral vascular disorders with mcc; 300 Peripheral vascular disorders with cc; 301 Peripheral vascular disorders without cc/mcc; Convert I87. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . ICD-10-CM Code for Varicose veins of lower extremities with both ulcer and inflammation I83. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I99. Exercise: documented in the notes. Chronic venous insufficiency occurs when the heart cannot pump blood from the leg veins back to the heart. I83. [ Read More. Severity: mild. ICD 10 code for Unspecified atherosclerosis of native arteries of extremities, bilateral legs. Causes can be divided into: Primary, whereby there is an underlying defect to the vein wall or valvular component. ICD-10-PCS - Lower. e. In. What is the ICD-10 code for chronic venous insufficiency? ICD-10 code: I87. 0): 299 Peripheral vascular disorders with mcc; 300 Peripheral vascular. 810 when reporting this procedure. I87. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Here are some widely used codes, accompanied by their respective clinical descriptions: I87. 2 Venous insufficiency (chronic) (peripheral) I87. It is characterized by lower extremity edema, lower extremity discomfort, and accompanying skin trophic changes []. I87. Atherosclerosis (plaque buildup) is the most common cause. 0 - other international versions of ICD-10 R60. 0): 299 Peripheral vascular disorders with mcc;Importance: Incidence rates for lower extremity deep vein thrombosis (DVT) range from 88 to 112 per 100 000 person-years and increase with age. I87. For patients with chronic bilateral lower-extremity edema, duplex ultrasonography with reflux can help diagnose chronic venous insufficiency. Venous stasis ulcer with edema of lower leg ICD-10-CM L97. Venous insufficiency (chronic) (peripheral) I87. Short description: Postthrom syndrome w oth comp of bilateral low extrm; The 2024 edition of ICD-10-CM I87. 93971. Stasis dermatitis of left lower extremity due to peripheral venous hypertension; ICD-10-CM I87. The presence of varicose veins, especially with a gaiter distribution of hemosiderin staining, eczematous dermatitis, or atrophy blanche is indicative of venous insufficiency. This is the American ICD-10-CM version of I96 - other international versions of ICD-10 I96 may differ. Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the. *The venous malformations ICD-10-CM diagnosis code (Q27. Applicable To. Use this page to view details for the Local Coverage Determination for Treatment of Chronic Venous Insufficiency of the Lower Extremities. As functional venous valves are required to provide for efficient blood. 8 - other international versions of ICD-10 I87. 1 - other international versions of ICD-10 I87. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Venous insufficiency (chronic) (peripheral) [not covered for saphenopopliteal reflux] [not covered for common femoral reflux][not covered for reflux of iliac veins] ICD-10 codes not covered for indications listed in the CPB: I83. Page 354 of 359. 93 may differ. This is the American ICD-10-CM version of I83. ICD 10 code for Phlebitis and thrombophlebitis of superficial vessels of lower extremities, bilateral. 229 Varicose veins of left lower extremity with both ulcer of unspecified site and inflammation. 81 Varicose veins of lower extremities with pain. Billing and Coding: Duplex Scan of Lower Extremity Arteries. I87. The 2024 edition of ICD-10-CM I87. 322 [convert to ICD-9-CM] Chronic venous hypertension (idiopathic) with inflammation of left lower extremity. C1: Presence of spider veins, reticular veins, or telangiectasia. Chronic venous insufficiency vs. . This is the American ICD-10-CM version of I87. 27 All epidemiological studies of lower extremity arterial disease have confirmed cigarette smoking as a strong risk factor for development of lower extremity arterial disease, with. 331. Foot. prolong venous hypertension → inflammation, more valve loss, and more valve reflux. ICD 10 code for Acute embolism and thrombosis of unspecified deep veins of lower extremity, bilateral. 71 may differ. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . The CPT code for a bilateral lower extremity venous duplex study in 2023 is 93970. This allows water and blood cells to pool in the lower legs. [1] This progressive swelling eventually results in thickening of the skin and soft tissue underneath. It typically occurs in older individuals and is the cutaneous manifestation of venous hypertension caused by venous reflux. Page 3 See page 2 for important information about the uses and limitations of this guide and page 10 for all third-party sources. 500 results found. Chronic venous insufficiency (CVI) is a common condition in the adult population, with a prevalence of 25%-40% and 10%-20% in females and males, respectively []. Varicose veins of lower extremities with edema; Varicose veins of lower extremities with swelling. It also shows up in people who have inflammation in the layer of fat beneath the skin of the lower legs (lipodermatosclerosis). •May be unilateral or bilateral. 9 became effective on October 1, 2023. Code History Abstract. Insufficiency, insufficient. Type 1 Excludes. 322 [convert to ICD-9-CM] Chronic venous hypertension (idiopathic) with inflammation of left lower extremity. ICD-10 code I87. Use ICD-10-CM code Z09 only to describe a venous duplex performed for post procedure assessment of a. 3 for Chronic venous hypertension (idiopathic) is a medical classification as listed by WHO under the range -Diseases of veins, lympha. Superficial phlebitis is usually an initial clinical diagnosis, referring to the clinical findings of pain, tenderness, induration, and erythema along the course of a superficial vein. Do I really lose. 89. Chronic venous insufficiency is the cause of ulcerations in 60% to 80% of patients with chronic leg ulcers. -) The following code (s) above I87. 899 became effective on October 1, 2023. 37765 Stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions 37766 Stab phlebectomy of varicose veins, one extremity; more than 20 incisions 37780 Ligation and division of short saphenous vein at saphenopopliteal junction 37785 Ligation, division, and/or excision of varicose vein cluster(s), one leg 76942Introduction. Hemosiderin staining can occur in people with venous ulcers, which are slow-healing or non-healing wounds caused by blood pooling in the veins. 9 may differ. Varicose veins of lower extremities (I83) Varicose veins of lower extremities with other complications (I83. Z86. I83. Superficial venous insufficiency manifests across the entire clinical spectrum from dilated veins (telangiectasias, reticular veins, varicose veins) to chronic venous stasis skin changes or venous leg ulceration. lower leg swelling with. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. ICD-10-CM Diagnosis Code I83. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. restlessness. The 2024 edition of ICD-10-CM I83. By themselves, spider veins are nothing more than a cosmetic nuisance. (Unna boots, Compression. 93 - other international versions of ICD-10 I83. CPT. ICD-10-CM Diagnosis Code L97. 90 became effective on October 1, 2023. 9 in Canada (). Both terms refer to the same problem of damaged leg veins. 1 Definitions Manual:. 011. 599 became effective on. Chronic venous htn w ulcer and inflam of bilateral low extrm; Peripheral vein htn, chronic, ulcer. Venous stasis ulcer of lower limb; Venous stasis ulcer with edema and inflammation; Venous stasis ulcer with edema of lower leg; ICD-10-CM L97. I87. Dysfunction of the system may result from degeneration of the vein wall, post-thrombotic valvular damage, chronic venous obstruction, or. 13 Rationale: • The stasis ulcer caused by venous insufficiency is captured first with the code for underlying disease (459. 323 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. b) it must classify in ICD-10-CM to the EHR-Note: ICD-10-CM is a statistical classification; it is not a substitute for a provider’s final diagnostic statement. The aims of management are to correct the under-Deep Venous Insufficiency occurs as a result of a failure of the venous system, characterised by valvular reflux, venous hypertension and obstruction*. 31 became effective on October 1, 2023. Short description: Chronic embolism and thombos of deep vein of unsp low extrm The 2024 edition of ICD-10-CM I82. 331 is a valid billable ICD-10 diagnosis code for Chronic venous hypertension (idiopathic) with ulcer and inflammation of right lower extremity . Over time, the increased pressure of the extra blood can cause the symptoms of this condition. 2 [convert to ICD-9-CM] Venous insufficiency ( chronic) (peripheral) Dermatitis stasis; Diabetes type 2 with statis ulcer; Peripheral venous insufficiency; Stasis dermatitis; Stasis dermatitis without varicosities; Stasis ulcer due to type 2 diabetes mellitus; Stasis ulcer of leg. varicose veins of lower extremities (I83. 4. I87. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . It also evaluates the clinical criteria used to identify venous insufficiency in pathological and nonpathological veins. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . I87. Importance: Incidence rates for lower extremity deep vein thrombosis (DVT) range from 88 to 112 per 100 000 person-years and increase with age. DVT is a blood clot in a deep vein in your leg. 8; vascular I99. Normally, the valves in your veins make sure that blood flows toward your heart. CPT code 37241 is not appropriate for reporting of vein ablation for the treatment of chronic venous insufficiency of the lower extremities and is incorrect coding. ICD-10-CM I83. Venous outflow obstruction. ICD-10-CM1 Descriptor I70. Short description: Chronic venous hypertension w ulcer of. The cause is often chronic venous insufficiency. Venous stasis dermatitis occurs when blood pools in the lower legs and puts pressure on the skin. Please refer to the LCD for reasonable and necessary requirements. Unspecified atherosclerosis of native arteries of extremities, bilateral legs. Chronic venous insufficiency (CVI) is a common condition in the adult population, with a prevalence of 25%-40% and 10%-20% in females and males, respectively . Chronic venous insufficiency affects up to 5% of people in the US. Venous insufficiency often occurs in the legs, and is associated with EDEMA and sometimes with VENOUS STASIS ULCERS at the ankle. 0, E16-E31, E34. 0, E16-E31, E34. 0 is secondary lymphedema and is a good code to get it covered. 2024 ICD-10-CM Range Z00-Z99. Yes, the ICD 10 for bilateral lower extremity cellulitis codes, which are L03. Do I really lose. -) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere. I87. Joint disease particularly of the ankle. I87. Use Additional. 8. 0): 299 Peripheral. Chronic peripheral venous hypertension without complication of right lower extremity; Peripheral venous htn, chronic, right; Venous stasis edema of right leg; Venous stasis edema of right lower limb; ICD-10-CM I87. ICD 10 code for Chronic venous hypertension (idiopathic) with ulcer of left lower extremity. Varicose veins of left lower extremity with ulcer of calf. Each C stage is also given an A or B classification. Varicose veins of lower extremities (I83) Asymptomatic varicose veins of lower extremities (I83. 333 Chronic venous hypertension (idiopathic) with ulcer and inflammation of bilateral lower extremity. 023 - other international versions of ICD-10 I75. ICD-10. 2 View ICD-10 Tree Chapter 9 - Diseases of the circulatory. 9 indicates arterial insufficiency and should lead to further investigation by a vascular surgeon. The index entries for ulcer (any type or site) due to venous insufficiency are derived from ICD-10 and are applicable to single condition/mortality coding, where they identify the. Stasis dermatitis and venous ulcer of lower extremity due to chronic peripheral venous hypertension; Venous stasis edema w ulcer and inflammation; Venous stasis ulcer with edema and inflammation; ICD-10-CM I87. I83. edema. chronic) of the condition. Venous insufficiency is a cause of substantial morbidity and medical expenditures. Other venous embolism and. 301 Chronic venous hypertension (idiopathic) without complications of. I87. The antegrade flow of blood within these veins is ensured by a system of muscular venous pumps and bicuspid valves. Search All ICD-10 Toggle Dropdown. Recurrence is also common, estimated at 20-36% over 10 years. *The venous malformations ICD-10-CM diagnosis code (Q27. Recurrent lower limb venous insufficiency is often a challenge in clinical practice and is most commonly due to incompetent perforators. Chronic venous insufficiency has been clinically linked to sustained. 3 may differ. 112, L03. The risk factors for chronic venous. 8 may differ. -) I87. 30. 622 became effective on October 1, 2023. I87. 622 - other international versions of ICD-10 E11. Applicable To. 93. Varicose veins of bilateral lower extremities with pain I83. 013 Postthrombotic syndrome with ulcer of bilateral lower extremity. unexplained exhaustion. I87. Chronic venous insufficiency ( CVI) is a medical condition in which blood pools in the veins, straining the walls of the vein. Established dogma purports that cancer is the most common cause of lower extremity lymphedema in Western countries, whereas chronic venous insufficiency (CVI) is often overlooked as a potential cause. Short description: Oth symptoms and signs involving the circ and resp systems The 2024 edition of ICD-10-CM R09. I am only finding I87. This Billing and Coding Article provides billing and coding guidance for Proposed Local Coverage Determination (LCD) DL33693 Peripheral Venous Ultrasound. Lymphedema of lower extremities is frequently associated with chronic venous insufficiency (CVI) in a. VV of bilateral lower. Location: upper or lower extremities; bilateral in 30% of patients. 0 may differ. ICD-10. The ICD code I872 is used to code Chronic venous insufficiency. 500 results found. 30. Areas of darker skin color in the lower leg, ankle or foot are called Hemosiderin deposits. 0): 299 Peripheral vascular disorders with mcc; 300 Peripheral vascular disorders with cc; 301 Peripheral vascular disorders without cc/mcc; Convert I87. I00–I99 - Diseases of the circulatory system. In the general population, only about 10% of persons with known PAD have the classic symptom of intermittent claudication. It is most common at older ages, with a peak. Chronic venous htn w inflammation of bilateral low extrm; Peripheral vein htn, chronic, inflamed, bilateral; Stasis dermatitis of bilateral lower extremities due to chronic peripheral venous hypertension. Chronic venous htn w inflammation of bilateral low extrm; Peripheral vein htn, chronic, inflamed, bilateral; Stasis dermatitis of bilateral lower extremities due to chronic peripheral venous hypertension. ICD 10 code for Other disorder of circulatory system. This is the American ICD-10-CM version of I83 - other international versions of ICD-10 I83 may differ. 333 is a valid billable ICD-10 diagnosis code for Chronic venous hypertension (idiopathic) with ulcer and inflammation of bilateral lower extremity. I73. Traditionally, Doppler ultrasonography (US) has been used for evaluation of varicose veins. I83. 313 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2016 2017 2018. Phlebitis and thrombophlebitis of superficial vessels of lower extremities, bilateral I83. ICD-10 code I83. I86. The most common cause of CVI is superficial venous reflux which is a treatable condition. Approximate Synonyms I87. The lower extremity venous system includes the superficial, deep, and perforating veins. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I83. I87. Diseases of the circulatory system. 301 [convert to ICD-9-CM] Chronic venous hypertension (idiopathic) without complications of right lower extremity. 3 may differ. 0): 299 Peripheral vascular disorders with mcc; 300 Peripheral vascular disorders with cc; 301 Peripheral vascular. Applicable To. I87. Chronic Venous Insufficiency (CVI) Chronic venous insufficiency (CVI) is a condition that occurs when valves within the leg veins are damaged allowing blood to leak backwards and pool in these veins. Definition / general. 393 is a billable diagnosis code used to specify a medical diagnosis of chronic venous hypertension (idiopathic) with other complications of bilateral lower extremity. Location can be upper or lower extremities depending on the underlying cause. Sclerotherapy is primarily used in the treatment of telangiectasias, reticular veins, and small nonaxial varicose veins (<6 mm), which may or may not be symptomatic, and even. The 2024 edition of ICD-10-CM Z86. I87. Dysfunction of the system may result from degeneration of the vein wall, post-thrombotic valvular damage, chronic venous obstruction, or. Pathology. Superficial venous insufficiency is caused when the valves or walls of the veins don’t work properly. It would not be appropriate to report -50 modifier with CPT code 93971 for a limited bilateral study. The 2024 edition of ICD-10-CM L85. Note. 0 - other international versions of ICD-10 I89. Appropriate codes in this chapter (i. 4Z3. Both codes can be used for bilateral studies; 93970 for complete, and 93971 for limited. 919 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. The 2024 edition of ICD-10-CM I75. Use Additional. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Interventional Radiology (IR) is a medical specialty that uses image guidance to perform minimally invasive, often life-saving, procedures that are an alternative to surgery. Chronic venous hypertension (idiopathic) with ulcer and inflammation of. E05. 3 Chronic venous hypertension (idiopathic) I87. Applicable To. 0): 299 Peripheral vascular disorders with mcc; 300 Peripheral vascular disorders with cc; 301 Peripheral vascular disorders. Z codes represent reasons for encounters. Moreover, lymphedema is typically ascribed to. Impaired venous blood flow or venous return (venous stasis), usually caused by inadequate venous valves. Postthrombotic syndrome, defined as persistent symptoms, signs of chronic venous insufficiency, or both, occurs in 25% to 50% of patients 3 to 6 months after DVT diagnosis. 605/(Right) M79. 39 Chronic venous hypertension (idiopathic) with other. DVT is the primary cause of pulmonary embolism. I am only finding I87. 813 - other international versions of ICD-10 I83. 1 Introduction. 5-, I82. 111, L03. 2 [convert to ICD-9-CM] Venous insufficiency (chronic) (peripheral) Dermatitis stasis; Diabetes type 2 with statis ulcer; Peripheral venous insufficiency; Stasis dermatitis; Stasis dermatitis without varicosities; Stasis ulcer due to type 2 diabetes mellitus; Stasis ulcer of leg. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I87. Varicose veins of bilateral lower extremities with pain I83. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I80. Prevalence of DVI is around 10-15% and is more common in women. 604 Valvular incompetence I38 Pelvic Area (non-OB) Trans Abdominal 76856 Trans Vaginal 76830 Fibroids / enlarged uterus. I87. 301 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 9 Reflux Edema M79. Risk factors include chronic cough, constipation, family history of venous disease, female sex, obesity. In effect, VVs may be one. ICD-10 code I87. 43 became effective on October 1, 2023. ICD-10-CM Coding Rules I87. I87. 03. 013 Varicose veins of right lower extremity with ulcer of ankle. I87. Nearly 75 percent of cases are unilateral, with the left leg more often involved. 0):I87. Varicose veins of bilateral lower extremities with other complications I87. ”. The 2024 edition of ICD-10-CM I87. Code HistoryThe 2024 edition of ICD-10-CM Z86. leg cramps. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I87. 2 Chronic venous Insufficiency. 311 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 3 may differ. 9. 2 is VALID for claim submission. Toggle navigation. Tight feeling in your calves or. 3 became effective on October 1, 2023. [ Read More ]Arterial insufficiency is reduced blood flow through one or more of your arteries. Venous insufficiency syndromes are most commonly caused by valvular incompetence in the low-pressure superficial venous system but may also be caused by. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The 2024 edition of ICD-10-CM I96 became effective on October 1, 2023. External compression of veins. 333 [convert to ICD-9-CM] Chronic venous hypertension (idiopathic) with ulcer and inflammation of bilateral lower extremity. Search All ICD-10 Toggle Dropdown. I75. Your leg muscles actually act as a. Toggle navigation. Venous stasis ulcers, typically resulting from venous insufficiency, are depicted by a range of ICD-10 codes. Use additional code, if applicable, to specify site and severity of. 4-, I82. 023 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. I87. 813 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It happens when your artery becomes narrowed or blocked. 899. I82593. Asymptomatic varicose veins of unspecified lower extremity. 224 Varicose veins of left lower extremity with b. Chronic venous insufficiency (CVI) is a medical condition in which the veins cannot pump enough blood back to the heart. Venous Stasis Dermatitis. Diagnosis is by physical examination. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. 339 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 0):incompetent venous valves cause reflux of blood. 319 to ICD-9-CM. 01 became effective on October 1, 2023. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I82. When a venous leg ulcer occurs in the. *The venous malformations ICD-10-CM diagnosis code (Q27. 0): 299 Peripheral vascular disorders with mcc; 300 Peripheral vascular disorders with cc; 301 Peripheral vascular disorders without cc/mcc A and B classifications. Use ICD-10-CM code Z01. ; Venous stasis edema with ulcer of ankle; Venous stasis edema with ulcer of ankle, bone necrosis; Venous stasis edema with ulcer of ankle, muscle necrosis; Venous stasis. There is variability and disagreement among authoritative groups regarding the necessary components of the test. Presentation. Varicose veins of lower extremities with other complications. deep venous reflux. 319 is a billable diagnosis code used to specify a medical diagnosis of chronic venous hypertension (idiopathic) with ulcer of unspecified lower extremity. Lipodermatosclerosis (hypodermitis sclerodermiformis and sclerosing panniculitis) presents as a chronic fibrosing disease commonly associated with venous insufficiency, arterial ischemia or thrombophlebitis. 19 Lower ABIs are associated with more severe vascular disease, and ABIs. A 69-year-old man presented with severe bilateral lower extremity woody edema, pebbly hyperkeratotic plaques, and a fetid odor (see accompanying figure.