ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesO22.00

O22.00

Billable

Varicose veins of lower extremity in pregnancy, unspecified trimester

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O22.00 is a billable code used to indicate a diagnosis of varicose veins of lower extremity in pregnancy, unspecified trimester.

Key Diagnostic Point:

Varicose veins are a common condition during pregnancy, characterized by swollen, twisted veins that can occur in the lower extremities due to increased blood volume and hormonal changes. The condition is often exacerbated by the growing uterus, which can compress pelvic veins and impede venous return from the legs. Symptoms may include aching, heaviness, and swelling in the legs, particularly after prolonged standing or sitting. While varicose veins are generally benign, they can lead to complications such as superficial thrombophlebitis or deep vein thrombosis (DVT), which pose significant risks during pregnancy. Management may involve lifestyle modifications, compression stockings, and in some cases, anticoagulation therapy to prevent thrombotic events. Accurate coding is essential to reflect the severity and trimester of the condition, as well as any associated complications, to ensure appropriate care and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between varicose veins and other venous conditions.
  • Identifying the trimester of pregnancy when the condition is diagnosed.
  • Documenting associated symptoms and complications accurately.
  • Understanding the implications of anticoagulation therapy in pregnancy.

Audit Risk Factors

  • Inadequate documentation of symptoms and severity.
  • Failure to specify the trimester of pregnancy.
  • Incorrect coding of associated complications like DVT.
  • Lack of clarity in treatment plans involving anticoagulation.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation should include the patient's history, physical examination findings, and any treatments provided, including the use of compression stockings or anticoagulants.

Common Clinical Scenarios

A pregnant patient presents with leg swelling and discomfort, diagnosed with varicose veins; management includes lifestyle changes and monitoring for complications.

Billing Considerations

Consideration of the patient's overall venous health and any previous history of venous disease is crucial for accurate coding.

Maternal-Fetal Medicine

Documentation Requirements

Detailed documentation of any high-risk factors, including previous thrombotic events or family history of venous disease, is essential.

Common Clinical Scenarios

A high-risk pregnant patient with a history of DVT presents with new varicose veins; management may include anticoagulation therapy.

Billing Considerations

Close monitoring for complications is necessary, and documentation should reflect the multidisciplinary approach to care.

Coding Guidelines

Inclusion Criteria

Use O22.00 When
  • 10 coding guidelines specify that the trimester of pregnancy should be documented when coding for conditions like varicose veins
  • Additionally, any complications such as thrombosis must be coded separately to reflect the patient's complete clinical picture

Exclusion Criteria

Do NOT use O22.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for management of varicose veins during pregnancy.

Documentation Requirements

Documentation must include a review of symptoms, treatment plan, and any changes in the patient's condition.

Specialty Considerations

Obstetricians should ensure that the visit is clearly related to the management of pregnancy-related conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including varicose veins, which helps in better tracking of maternal health outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including varicose veins, which helps in better tracking of maternal health outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including varicose veins, which helps in better tracking of maternal health outcomes and resource allocation.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What are the common treatments for varicose veins during pregnancy?

Common treatments include lifestyle modifications such as leg elevation, wearing compression stockings, and in some cases, anticoagulation therapy if there is a risk of thrombosis. It is important to monitor the condition throughout pregnancy.