I83.228 — Varicose veins of left lower extremity with both ulcer of other part of lower extremity and inflammation
I83.228 is a billable, specific ICD-10-CM code for varicose veins of left lower extremity with both ulcer of other part of lower extremity and inflammation. It is valid for submission on a claim.
Risk adjustment
I83.228 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
I83.228 is named in 20 Medicare coverage policies — 18 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
- A52870Billing and Coding: Treatment of Varicose Veins of the Lower Extremity
- A52993Billing and Coding: Peripheral Venous Ultrasound
How I83.228 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 I83.228.
- Varix›leg›left›with›ulcer›lower leg NEC›with inflammation
Related codes at this level
Codes that share I83.22. If I83.228 is not quite right, the correct code is usually one of these.
- I83.221Varicose veins of left lower extremity with both ulcer of thigh and inflammation
- I83.222Varicose veins of left lower extremity with both ulcer of calf and inflammation
- I83.223Varicose veins of left lower extremity with both ulcer of ankle and inflammation
- I83.224Varicose veins of left lower extremity with both ulcer of heel and midfoot and inflammation
- I83.225Varicose veins of left lower extremity with both ulcer other part of foot and inflammation
- I83.229Varicose veins of left lower extremity with both ulcer of unspecified site and inflammation
Questions about I83.228
- Is I83.228 a billable ICD-10-CM code?
- Yes. I83.228 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I83.228 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).