I83.219 — Varicose veins of right lower extremity with both ulcer of unspecified site and inflammation
I83.219 is a billable, specific ICD-10-CM code for varicose veins of right lower extremity with both ulcer of unspecified site and inflammation. It is valid for submission on a claim.
Excludes2 inherited from the categories above I83.219
Also inherited, and the opposite of Excludes1: these conditions are not part of I83.219, but a patient can have both, so you may code both.
Other codes that can never be billed with I83.219
These codes carry an Excludes1 note pointing at I83.219. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I83.219 alone.
- I87.3Chronic venous hypertension (idiopathic)
Risk adjustment
I83.219 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
I83.219 is named in 2 Medicare coverage policies — 0 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
How I83.219 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 I83.219.
- Varix›leg›right›with›ulcer›with inflammation
Code history
I83.219 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share I83.21. If I83.219 is not quite right, the correct code is usually one of these.
- I83.211Varicose veins of right lower extremity with both ulcer of thigh and inflammation
- I83.212Varicose veins of right lower extremity with both ulcer of calf 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
Questions about I83.219
- Is I83.219 a billable ICD-10-CM code?
- Yes. I83.219 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I83.219 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).