I83.205 — Varicose veins of unspecified lower extremity with both ulcer other part of foot and inflammation
I83.205 is a billable, specific ICD-10-CM code for varicose veins of unspecified lower extremity with both ulcer other part of foot and inflammation. 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 both ulcer of toe and inflammation
Risk adjustment
I83.205 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
I83.205 is named in 4 Medicare coverage policies — 2 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
- A53026Billing and Coding: Bariatric Surgery Coverage
- A56852Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity
How I83.205 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 I83.205.
- Varix›leg›with›ulcer›foot NEC›with inflammation
Related codes at this level
Codes that share I83.20. If I83.205 is not quite right, the correct code is usually one of these.
- I83.201Varicose veins of unspecified lower extremity with both ulcer of thigh and inflammation
- 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
- I83.208Varicose 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
Questions about I83.205
- Is I83.205 a billable ICD-10-CM code?
- Yes. I83.205 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I83.205 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).