Varicose veins of r low extrem w ulcer of heel and midfoot

This code signifies the presence of abnormally dilated and tortuous veins in the right lower extremity, specifically complicated by an open sore or lesion located on the heel or midfoot region. This ulceration is directly attributable to the underlying venous insufficiency.

Apply this code when documentation clearly indicates varicose veins affecting the right leg, with a co-occurring ulcer on the heel or midfoot. The physician's notes should explicitly link the ulcer to the venous disease. This code is appropriate for patients presenting with symptomatic varicose veins and a non-healing wound in the specified anatomical location.

• Ensure the documentation specifies "right" lower extremity; laterality is crucial.
• Verify the ulcer's location is precisely on the heel or midfoot, not elsewhere on the foot or ankle.
• Do not use this code if the ulcer is due to arterial insufficiency, diabetes, or pressure; those conditions have distinct codes.