I87.311 — Chronic venous hypertension (idiopathic) with ulcer of right lower extremity
I87.311 is a billable, specific ICD-10-CM code for chronic venous hypertension (idiopathic) with ulcer of right lower extremity. It is valid for submission on a claim.
Excludes1 inherited from the categories above I87.311
These are not written on I87.311, but they bind it: a note on a category applies to every code beneath it. Billing I87.311 with anything listed here is a denial.
Risk adjustment
I87.311 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
I87.311 is named in 24 Medicare coverage policies — 22 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
Code history
I87.311 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 I87.31. If I87.311 is not quite right, the correct code is usually one of these.
Questions about I87.311
- Is I87.311 a billable ICD-10-CM code?
- Yes. I87.311 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I87.311 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 I87.311?
- I87.311 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 I87.311 (I87.3) and apply to it just the same.