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

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

Apply this code when documentation clearly indicates varicose veins affecting the left leg, accompanied by an ulcer specifically documented as being on both the heel and midfoot. The physician's notes should establish a causal link between the varicose veins and the ulceration.

• Ensure documentation specifies both heel and midfoot involvement for the ulcer; otherwise, a more specific site code may be appropriate.
• Verify the laterality is explicitly stated as "left lower extremity" to avoid miscoding.
• Do not use this code if the ulcer is due to arterial insufficiency, pressure, or other non-venous causes.