ICD-10-CM Code O87.4

Varicose veins of lower extremity in the puerperium

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O87.4 is a billable code used to specify a medical diagnosis of varicose veins of lower extremity in the puerperium. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code O87.4 might also be used to specify conditions or terms like varicose veins complicating pregnancy and/or puerperium, varicose veins of legs complicating pregnancy and/or puerperium, varicose veins of legs in pregnancy and the puerperium, varicose veins of legs in pregnancy and the puerperium - delivered, varicose veins of legs in pregnancy and the puerperium - delivered with postnatal complication, varicose veins of legs in pregnancy and the puerperium with antenatal complication, etc

The code O87.4 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

ICD-10:O87.4
Short Description:Varicose veins of lower extremity in the puerperium
Long Description:Varicose veins of lower extremity in the puerperium

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O87.4 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Maternity diagnoses - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Varicose veins complicating pregnancy AND/OR puerperium
  • Varicose veins of legs complicating pregnancy AND/OR puerperium
  • Varicose veins of legs in pregnancy and the puerperium
  • Varicose veins of legs in pregnancy and the puerperium - delivered
  • Varicose veins of legs in pregnancy and the puerperium - delivered with postnatal complication
  • Varicose veins of legs in pregnancy and the puerperium with antenatal complication
  • Varicose veins of legs in pregnancy and the puerperium with postnatal complication
  • Varicose veins of legs in the puerperium

Convert O87.4 to ICD-9

  • 671.02 - Varic vein leg-del w p/p (Approximate Flag)
  • 671.04 - Varic vein leg-postpart (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Complications predominantly related to the puerperium (O85-O92)
      • Venous complications and hemorrhoids in the puerperium (O87)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Postpartum Care

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges.

  • Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
  • You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
  • Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
  • Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.

In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

Dept. of Health and Human Services Office on Women's Health


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Varicose Veins

Varicose veins are swollen, twisted veins that you can see just under the skin. They usually occur in the legs, but also can form in other parts of the body. Hemorrhoids are a type of varicose vein.

Your veins have one-way valves that help keep blood flowing toward your heart. If the valves are weak or damaged, blood can back up and pool in your veins. This causes the veins to swell, which can lead to varicose veins.

Varicose veins are very common. You are more at risk if you are older, are female, have obesity, don't exercise, or have a family history of varicose veins. They can also be more common in pregnancy.

Doctors often diagnose varicose veins from a physical exam. Sometimes you may need additional tests.

Exercising, losing weight, elevating your legs when resting, and not crossing them when sitting can help keep varicose veins from getting worse. Wearing loose clothing and avoiding long periods of standing can also help. If varicose veins are painful or you don't like the way they look, your doctor may recommend procedures to remove them.

NIH: National Heart, Lung, and Blood Institute


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