Is I87.011 a billable ICD-10-CM code?

Yes. I87.011 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does I87.011 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).

What cannot be coded together with I87.011?

I87.011 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above I87.011 (I87.0) and apply to it just the same.

I87.011

I87.011 — Postthrombotic syndrome with ulcer of right lower extremity

Billable / specific codeICD-10-CMright

I87.011 is a billable, specific ICD-10-CM code for postthrombotic syndrome with ulcer of right lower extremity. It is valid for submission on a claim.

Excludes1 inherited from the categories above I87.011

These are not written on I87.011, but they bind it: a note on a category applies to every code beneath it. Billing I87.011 with anything listed here is a denial.

Written on I87.0 — Postthrombotic syndrome

chronic venous hypertension without deep vein thrombosis (I87.3-)

Risk adjustment

I87.011 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

I87.011 is named in 21 Medicare coverage policies — 17 listing it as supporting medical necessity, and 4 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52870Billing and Coding: Treatment of Varicose Veins of the Lower Extremitynot covered
A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
A57305Billing and Coding: Varicose Veins of the Lower Extremity, Treatment ofnot covered

Code history

I87.011 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 I87.01. If I87.011 is not quite right, the correct code is usually one of these.

Questions about I87.011

Is I87.011 a billable ICD-10-CM code?: Yes. I87.011 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I87.011 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).
What cannot be coded together with I87.011?: I87.011 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above I87.011 (I87.0) and apply to it just the same.