I83.014
BillableVaricose veins of right lower extremity with ulcer of heel and midfoot
HCC Category Mapping
V28HCC 383 — Diabetic Skin Ulcer and Severe Skin Conditions
0.517V24HCC 107 — Vascular Disease with Complications
0.450ESRDHCC 107 — Vascular Disease with Complications
0.000What This Code Means
Enlarged, twisted veins in the right leg with an open sore on the heel or midfoot area.
Coding Tips
- •Use this code for ulcers affecting the heel, arch, or midfoot region of the right leg
- •Distinguish from I83.015 (other foot locations) based on specific anatomical site
Clinical Significance
Varicose veins with ulceration represent a significant complication of chronic venous insufficiency where skin breakdown has occurred due to sustained venous hypertension. These venous ulcers are slow-healing wounds that require ongoing wound care, compression therapy, and monitoring for infection. This diagnosis is a high-impact HCC that reflects the increased resource utilization and clinical complexity of managing chronic venous ulceration.
Documentation Requirements
- ✓Provider documentation of varicose veins with active ulceration of the right lower extremity
- ✓Specific ulcer location documented (heel and midfoot) — anatomical site determines code specificity
- ✓Description of ulcer characteristics: size, depth, wound bed appearance, drainage, and stage if applicable
- ✓Confirmation that the ulcer is a direct complication of the varicose veins (causal relationship)
- ✓Current wound care treatment plan and any changes in management
- ✓Assessment for signs of inflammation, infection, or cellulitis which would require additional or different codes
Commonly Confused Codes
I83.214 — Varicose veins with BOTH ulcer and inflammation; use when both ulceration and inflammation are documented togetherL97.x — Non-pressure chronic ulcer of lower limb; use when the ulcer is NOT caused by varicose veins (different etiology)I87.2 — Venous insufficiency (chronic/peripheral); use when there is venous insufficiency without varicose veins or ulcerationVerify laterality carefully — do not confuse with left lower extremity codes which have different 5th/6th charactersL89.x — Pressure ulcer codes; distinguish from venous stasis ulcers which are caused by varicose veins, not prolonged pressure
Code Hierarchy
└I83Varicose veins of lower extremities└I83.0Varicose veins of lower extremities with ulcer└I83.01Varicose veins of right lower extremity with ulcer└I83.014Varicose veins of right lower extremity with ulcer of heel and midfoot
└I83.014Varicose veins of right lower extremity with ulcer of heel and midfoot