I83.214

I83.214: Varicose veins of right lower extremity with both ulcer of heel and midfoot and inflammation

Billable / specific codeICD-10-CMright

I83.214 is a billable, specific ICD-10-CM code for varicose veins of right lower extremity with both ulcer of heel and midfoot and inflammation. It is valid for submission on a claim.

Check I83.214 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Varicose veins of right lower extremity with both ulcer of plantar surface of midfoot and inflammation

Excludes2 inherited from the categories above I83.214

Not part of this code, but both may be coded when both are present.

Written on I83: Varicose veins of lower extremities

varicose veins complicating pregnancy (O22.0-)
varicose veins complicating the puerperium (O87.4)

Other codes that can never be billed with I83.214

Their own Excludes1 notes name this code, so the conflict is not listed above.

I87.3Chronic venous hypertension (idiopathic)

Risk adjustment

I83.214 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

I83.214 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