I83.212: Varicose veins of right lower extremity with both ulcer of calf and inflammation
I83.212 is a billable, specific ICD-10-CM code for varicose veins of right lower extremity with both ulcer of calf and inflammation. It is valid for submission on a claim.
Check I83.212 with the rest of the claim: free scrubberOther codes that can never be billed with I83.212
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I87.3Chronic venous hypertension (idiopathic)
Risk adjustment
I83.212 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
I83.212 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›with inflammation
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under I83.21
- I83.211Varicose veins of right lower extremity with both ulcer of thigh and inflammation
- I83.213Varicose veins of right lower extremity with both ulcer of ankle and inflammation
- I83.214Varicose veins of right lower extremity with both ulcer of heel and midfoot and inflammation
- I83.215Varicose veins of right lower extremity with both ulcer other part of foot and inflammation
- I83.218Varicose veins of right lower extremity with both ulcer of other part of lower extremity and inflammation
- I83.219Varicose veins of right lower extremity with both ulcer of unspecified site and inflammation