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v1.0.0
ICD-10 Guide
DiagnosesVenous Reflux

Venous Reflux

ICD-10 Coding for Venous Reflux(I87.2, I87.31)

PRIMARY SPECIALTYVascular Surgery
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Venous Reflux?
Essential facts and insights about Venous Reflux

Key Clinical Considerations:

  • Varicose veins, swelling, pain, and skin changes in the lower extremities
  • Doppler ultrasound showing reversed venous flow
  • Palpable varicosities, edema, and skin discoloration during physical examination

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including symptoms and duration
  • Use of terms like 'venous insufficiency' and 'reflux'
  • Examples: 'Patient presents with bilateral lower extremity swelling and varicosities.'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding venous reflux based on severity and symptoms.
  • Common errors include misclassifying the type of venous insufficiency.

Code Exclusions

Important Exclusions

  • Deep vein thrombosis (DVT) and other vascular disorders.
  • Alternative codes for superficial venous thrombosis.

Related ICD-10 Codes

Primary Codes
I87.2
Venous insufficiency (chronic) (peripheral)
I83.90
Varicose veins of unspecified lower extremity
Ancillary Codes
L97.-
Differential Codes
I80.-
I80
.- when there is evidence of thrombosis or inflammation of veins.
I83.0-
I83.0-
when varicose veins are the primary cause of ulceration.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Vascular Surgery

Specialty Applications

  • Adults with chronic venous disease, pregnant women, and post-surgical patients.
  • Outpatient vascular surgery clinics and inpatient hospital settings.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, physical exam findings, and diagnostic test results.

Billing considerations?

Ensure accurate coding to reflect the severity and complexity of the condition.