I87.311
BillableChronic venous hypertension (idiopathic) with ulcer of right lower extremity
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
A condition where high pressure builds up in the veins of the right leg due to an unknown cause, resulting in an open sore or ulcer on that leg.
Coding Tips
- •An additional code from the L89 series may be needed to specify the ulcer severity and stage
- •Document the location and size of the ulcer to support medical necessity for treatment
Clinical Significance
Chronic venous hypertension (idiopathic) with ulcer of the right lower extremity indicates sustained elevated venous pressure without an identifiable secondary cause, resulting in skin breakdown and chronic ulceration. This condition reflects significant chronic vascular disease requiring ongoing wound care, compression therapy, and monitoring for progression. The ulceration component substantially increases infection risk, hospitalization rates, and overall healthcare resource consumption.
Documentation Requirements
- ✓Diagnosis of chronic venous hypertension documented
- ✓Idiopathic etiology specified (no identifiable secondary cause)
- ✓Laterality documented (right lower extremity)
- ✓Ulcer presence and characteristics described (size, location, depth, wound bed)
- ✓Evidence of chronic venous insufficiency (edema, skin changes, hemosiderin staining)
- ✓Current wound management and compression therapy plan
- ✓Exclusion of secondary causes documented if applicable
Commonly Confused Codes
I87.312 — Left lower extremity; verify laterality matches documentationI87.33x — Chronic venous hypertension with ulcer AND inflammation; use when both ulcer and inflammation are documentedI87.01x — Postthrombotic syndrome with ulcer; use when the venous hypertension is secondary to prior deep vein thrombosisI83.0xx — Varicose veins with ulcer; different underlying pathology, use when ulcer is specifically attributed to varicose veinsL97.xxx — Non-pressure chronic ulcer of lower limb; use when the ulcer is not attributable to venous hypertension
Code Hierarchy
└I87Other disorders of veins└I87.3Chronic venous hypertension (idiopathic)└I87.31Chronic venous hypertension (idiopathic) with ulcer└I87.311Chronic venous hypertension (idiopathic) with ulcer of right lower extremity
└I87.311Chronic venous hypertension (idiopathic) with ulcer of right lower extremity