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ICD-10 Guide
ICD-10 CodesO22.03

O22.03

Billable

Varicose veins of lower extremity in pregnancy, third trimester

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

Code Description

ICD-10 O22.03 is a billable code used to indicate a diagnosis of varicose veins of lower extremity in pregnancy, third trimester.

Key Diagnostic Point:

Varicose veins are a common condition during pregnancy, particularly in the third trimester, due to increased blood volume and hormonal changes that affect vascular tone. The growing uterus exerts pressure on the pelvic veins, leading to venous stasis and the development of varicosities in the lower extremities. Symptoms may include aching, heaviness, and swelling in the legs, which can be exacerbated by prolonged standing or sitting. In some cases, varicose veins can lead to more serious complications such as thrombosis, where a blood clot forms within the affected vein. This condition necessitates careful monitoring and management, particularly in the context of anticoagulation therapy, which may be indicated if thrombosis occurs. Treatment options may include lifestyle modifications, compression stockings, and in severe cases, surgical intervention. Accurate coding of this condition is essential for proper management and reimbursement, as it reflects the complexity of care required for pregnant patients experiencing venous complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between varicose veins and other venous disorders.
  • Understanding the implications of thrombosis in pregnancy.
  • Navigating anticoagulation therapy management.
  • Documenting the severity and symptoms accurately.

Audit Risk Factors

  • Inadequate documentation of symptoms and severity.
  • Failure to document any associated thrombosis.
  • Lack of clarity on treatment plans, especially regarding anticoagulation.
  • Misclassification of varicose veins as a non-obstetric condition.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of symptoms, treatment plans, and any complications related to varicose veins.

Common Clinical Scenarios

Patients presenting with leg swelling and pain, requiring evaluation for varicose veins.

Billing Considerations

Consideration of the patient's obstetric history and any previous venous issues.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including previous thrombotic events and current anticoagulation therapy.

Common Clinical Scenarios

Management of patients with a history of venous thromboembolism during pregnancy.

Billing Considerations

Close monitoring of anticoagulation levels and potential interactions with pregnancy-related changes.

Coding Guidelines

Inclusion Criteria

Use O22.03 When
  • According to ICD
  • 10 coding guidelines, O22
  • 03 should be used when documenting varicose veins specifically in the third trimester of pregnancy
  • Coders must ensure that the condition is clearly linked to the pregnancy and that any associated complications are documented

Exclusion Criteria

Do NOT use O22.03 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 patients with varicose veins during pregnancy.

Documentation Requirements

Document the patient's symptoms, treatment plan, and any changes in condition.

Specialty Considerations

Obstetricians should ensure that the visit is clearly linked 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 in pregnancy. This specificity aids in better tracking of complications and outcomes, ultimately improving patient care 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 in pregnancy. This specificity aids in better tracking of complications and outcomes, ultimately improving patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including varicose veins in pregnancy. This specificity aids in better tracking of complications and outcomes, ultimately improving patient care 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, surgical intervention if the condition is severe or leads to complications like thrombosis.