Chronic venous htn w inflammation of bilateral low extrm

This code signifies a persistent elevation of venous pressure in both lower extremities, not attributable to a specific underlying cause (idiopathic), and presenting with signs of inflammation. This typically manifests as skin changes, redness, swelling, and discomfort due to impaired venous return.

Apply this code when documentation clearly indicates chronic venous hypertension affecting both lower limbs, without an identified secondary cause, and explicitly notes inflammatory signs. Supporting documentation would include physician notes detailing bilateral lower extremity edema, erythema, skin induration, or ulceration in the context of idiopathic chronic venous insufficiency.

• Ensure documentation specifies "idiopathic" or "primary" venous hypertension to differentiate from secondary causes.
• Verify that inflammation is explicitly noted; otherwise, consider codes for chronic venous hypertension without inflammation (e.g., I87.31-).
• Confirm bilateral involvement; separate codes exist for unilateral conditions.