Varicose veins of bilateral lower extremities with pain

This code signifies the presence of abnormally dilated, tortuous veins affecting both lower limbs, accompanied by reported pain. It indicates a symptomatic presentation of bilateral lower extremity varicose veins.

Apply this code when documentation clearly states varicose veins are present in both legs and the patient experiences associated pain. This typically includes physician notes detailing physical examination findings of bilateral varicosities and patient-reported symptoms of discomfort, aching, or throbbing in the affected limbs.

• Ensure documentation specifies bilateral involvement; unilateral varicose veins with pain would require a different code.
• Verify that "pain" is explicitly documented as a symptom associated with the varicose veins, not just a general lower extremity pain.
• Distinguish from codes for varicose veins with inflammation, ulceration, or hemorrhage, as this code specifically denotes pain as the complicating factor.