Chronic venous hypertension w/o comp of r low extrem

This code signifies persistent elevated venous pressure in the right lower extremity, not attributed to a specific underlying cause (idiopathic), and without any associated skin changes, ulceration, inflammation, or other complications. It describes a chronic condition of impaired venous return in the leg.

Apply this code when documentation clearly indicates chronic venous hypertension affecting the right lower extremity, with no mention of skin changes, edema, ulceration, or other sequelae. This diagnosis is typically made after ruling out secondary causes and when the patient presents with symptoms like aching, heaviness, or fatigue in the right leg.

• Ensure the documentation specifies "idiopathic" or "without complications" and clearly identifies the right lower extremity.
• Do not use this code if any complications such as edema, dermatitis, or ulceration are present; instead, select a more specific code from the I87.3 series.
• Verify laterality. If both lower extremities are affected, a bilateral code or separate codes for each leg may be necessary depending on the specific documentation.