Varicose veins of right lower extremity with ulcer of calf

This code signifies the presence of varicose veins affecting the right lower extremity, specifically complicated by an ulcer located on the calf. This indicates a chronic venous insufficiency leading to skin breakdown in the specified anatomical region. The ulcer is a direct consequence of the underlying venous disease.

This code is appropriate when documentation clearly states a diagnosis of varicose veins in the right lower limb with an associated ulcer on the calf. It should be used for patients presenting with venous stasis ulcers specifically located on the right calf, where the etiology is attributed to varicose veins. Supporting documentation would include physician notes detailing the location and cause of the ulcer.

• Ensure laterality (right lower extremity) and specific ulcer location (calf) are clearly documented.
• Do not use this code if the ulcer is due to arterial insufficiency, diabetes, or other non-venous causes.
• Consider additional codes for the severity of the ulcer (e.g., non-pressure chronic ulcer codes) if further detail is provided.