Varicos vn of l low extrem w ulc of heel & midft and inflam

This code signifies a complex presentation of varicose veins affecting the left lower extremity. Specifically, it indicates the presence of both an ulcer on the heel and midfoot, along with associated inflammation, all stemming from the underlying venous insufficiency.

Apply this code when documentation clearly specifies varicose veins of the left leg complicated by a heel ulcer, a midfoot ulcer, and inflammation. The physician's notes should explicitly state the laterality and the presence of all three complicating factors.

• Ensure documentation specifies both heel and midfoot ulcers, not just one or the other.
• Verify that "inflammation" is clearly documented as present in addition to the ulcers.
• Do not use this code if the ulcers are due to causes other than varicose veins, such as arterial insufficiency or diabetic neuropathy.