I83.004 — Varicose veins of unspecified lower extremity with ulcer of heel and midfoot
I83.004 is a billable, specific ICD-10-CM code for varicose veins of unspecified lower extremity with ulcer of heel and midfoot. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Varicose veins of unspecified lower extremity with ulcer of plantar surface of midfoot
Risk adjustment
I83.004 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 383 Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle0.646 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
I83.004 is named in 5 Medicare coverage policies — 3 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A56459Billing and Coding: Debridement Services
- A56852Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity
How I83.004 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I83.004.
- Varix›leg›with›ulcer›heel
- Varix›leg›with›ulcer›midfoot
Related codes at this level
Codes that share I83.00. If I83.004 is not quite right, the correct code is usually one of these.
- I83.001Varicose veins of unspecified lower extremity with ulcer of thigh
- I83.002Varicose veins of unspecified lower extremity with ulcer of calf
- I83.003Varicose veins of unspecified lower extremity with ulcer of ankle
- I83.005Varicose veins of unspecified lower extremity with ulcer other part of foot
- I83.008Varicose veins of unspecified lower extremity with ulcer other part of lower leg
- I83.009Varicose veins of unspecified lower extremity with ulcer of unspecified site
Questions about I83.004
- Is I83.004 a billable ICD-10-CM code?
- Yes. I83.004 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I83.004 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89).