I87.2 ICD-10-CM Code: Venous insufficiency (chronic) (peripheral)
I87.2 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)
I87.2
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceVenous insufficiency (chronic) (peripheral)
A long-term condition where veins in the legs cannot pump blood back to the heart effectively, causing swelling, heaviness, and skin changes.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Stasis dermatitis
Excludes 2
Official- certain conditions originating in the perinatal period (P04-P96)Inherited from I00-I99
- certain infectious and parasitic diseases (A00-B99)Inherited from I00-I99
- complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from I00-I99
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from I00-I99
- endocrine, nutritional and metabolic diseases (E00-E88)Inherited from I00-I99
- injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from I00-I99
- neoplasms (C00-D49)Inherited from I00-I99
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from I00-I99
- systemic connective tissue disorders (M30-M36)Inherited from I00-I99
- transient cerebral ischemic attacks and related syndromes (G45.-)Inherited from I00-I99
Related Codes
Includes
OfficialNo Includes notes are included in this display for I87.2. Check the code and parent instructions in the Code Book.
Excludes 1
Official- stasis dermatitis with varicose veins of lower extremities (I83.1-, I83.2-)
Code First
OfficialNo Code First sequencing instructions are included in this display for I87.2. Check the code and parent instructions in the Code Book.
Use Additional
Official- code, if applicable, to specify site and severity of ulcer (L97.-)
Code Also
Official- , if applicable, associated hypertensive conditions such as:
- essential (primary) hypertension (I10)
- hypertensive chronic kidney disease (I12.-)
- hypertensive heart and chronic kidney disease (I13.-)
- hypertensive heart disease (I11.-)
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is I87.2 an HCC code?
No. I87.2 is a billable ICD-10-CM code with no mapping under the current CMS-HCC V28 community payment model, and none under the ESRD, Part D RxHCC, or HHS-HCC models.
- Code
- I87.2
- Description
- Venous insufficiency (chronic) (peripheral)
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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What This Code Means
I87.2 is the ICD-10-CM diagnosis code for venous insufficiency (chronic) (peripheral). A long-term condition where veins in the legs cannot pump blood back to the heart effectively, causing swelling, heaviness, and skin changes. I87.2 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (i80-i89).
I87.2 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.
This is a general code; if complications like ulcers or inflammation are present, use more specific codes from the I87.3 series.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for I87.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a general code; if complications like ulcers or inflammation are present, use more specific codes from the I87.3 series
- •Document whether this is primary (no known cause) or secondary (due to previous blood clots or other conditions)
Excludes 1, Do NOT code together
Use Additional Code
- code, if applicable, to specify site and severity of ulcer (L97.-)