I83.012: Varicose veins of right lower extremity with ulcer of calf
I83.012 is a billable, specific ICD-10-CM code for varicose veins of right lower extremity with ulcer of calf. It is valid for submission on a claim.
Check I83.012 with the rest of the claim: free scrubberOther codes that can never be billed with I83.012
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I87.3Chronic venous hypertension (idiopathic)
Risk adjustment
I83.012 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
I83.012 is named in 23 Medicare coverage policies: 21 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52870Billing and Coding: Treatment of Varicose Veins of the Lower Extremity
- A52993Billing and Coding: Peripheral Venous Ultrasound
Alphabetic index entries that lead here
- Varix›leg›right›with›ulcer›calf
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under I83.01
- I83.011Varicose veins of right lower extremity with ulcer of thigh
- I83.013Varicose veins of right lower extremity with ulcer of ankle
- I83.014Varicose veins of right lower extremity with ulcer of heel and midfoot
- I83.015Varicose veins of right lower extremity with ulcer other part of foot
- I83.018Varicose veins of right lower extremity with ulcer other part of lower leg
- I83.019Varicose veins of right lower extremity with ulcer of unspecified site