Postthrom syndrome w ulcer and inflammation of r low extrem

This code signifies a chronic complication following deep vein thrombosis (DVT) in the right lower extremity, characterized by persistent venous hypertension leading to skin ulceration and active inflammation. The ulcer is a non-healing open sore, and inflammation indicates redness, swelling, pain, or warmth in the affected area. This condition reflects significant venous insufficiency and tissue damage.

Apply this code when documentation clearly indicates a diagnosis of postthrombotic syndrome affecting the right lower extremity, specifically noting the presence of both an active ulcer and signs of inflammation. Supporting documentation includes physician notes detailing the history of DVT, physical exam findings of ulceration and inflammation, and diagnostic tests confirming venous insufficiency.

• Ensure documentation specifies "right lower extremity" and explicitly mentions both "ulcer" and "inflammation."
• Do not use this code if only an ulcer or only inflammation is present; a different code for postthrombotic syndrome would be more appropriate.
• Consider sequencing this code after any acute conditions being treated, but before codes for general venous insufficiency without these specific complications.