I83.201: Varicose veins of unspecified lower extremity with both ulcer of thigh and inflammation
I83.201 is a billable, specific ICD-10-CM code for varicose veins of unspecified lower extremity with both ulcer of thigh and inflammation. It is valid for submission on a claim.
Check I83.201 with the rest of the claim: free scrubberOther codes that can never be billed with I83.201
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I87.3Chronic venous hypertension (idiopathic)
Risk adjustment
I83.201 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
I83.201 is named in 5 Medicare coverage policies: 3 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
- A53026Billing and Coding: Bariatric Surgery Coverage
- A56459Billing and Coding: Debridement Services
Alphabetic index entries that lead here
- Varix›leg›with›ulcer›thigh›with inflammation
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under I83.20
- I83.202Varicose veins of unspecified lower extremity with both ulcer of calf and inflammation
- I83.203Varicose veins of unspecified lower extremity with both ulcer of ankle and inflammation
- I83.204Varicose veins of unspecified lower extremity with both ulcer of heel and midfoot and inflammation
- I83.205Varicose veins of unspecified lower extremity with both ulcer other part of foot and inflammation
- I83.208Varicose veins of unspecified lower extremity with both ulcer of other part of lower extremity and inflammation
- I83.209Varicose veins of unspecified lower extremity with both ulcer of unspecified site and inflammation