2026 ICD-10-CM Diagnosis Code O87.4Varicose veins of lower extremity in the puerperium

ICD-10-CM Codes›O00-O9A›O85-O92›O87

ICD-10-CM O87.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O87.4 is a billable ICD-10-CM diagnosis code for varicose veins of lower extremity in the puerperium. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as varicose veins in puerperium. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during the puerperium and Varicose veins of lower extremity.

Code Identity

ICD-10-CM Code
O87.4
Billable Status
Yes — Valid for Submission
Code Describes
Varicose veins of lower extremity in the puerperium
Short Description
Varicose veins of lower extremity in the puerperium
Same as the full description in the CMS dataset.
Parent Code
O87
Venous complications and hemorrhoids in the puerperium

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO85-O92Complications predominantly related to the puerperium
CategoryO87Venous complications and hemorrhoids in the puerperium
This CodeO87.4Varicose veins of lower extremity in the puerperium

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O87.4.

Maternity diagnoses
The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Varicose veins in puerperium
  • Varicose veins of bilateral lower limbs
  • Varicose veins of bilateral lower limbs in puerperium

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Puerperal, puerperium(complicated by, complications)
      • varicose veins (legs)
    • Varix(lower limb)
      • complicating
        • childbirth (lower extremity)
    • Varix(lower limb)
      • complicating
        • puerperium (lower extremity)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG027
Complications specified during the puerperium
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR CIR035
Varicose veins of lower extremity
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

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. :

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O87.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
671.02 Varic vein leg-del w p/p
Approximate The match is approximate rather than exact.
ICD-9-CM
671.04 Varic vein leg-postpart
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O87.4Overview

Is O87.4 (Venous complications and hemorrhoids in the puerperium) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report varicose veins of lower extremity in the puerperium on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O87.4 be reported for?

The Medicare Code Editor checks varicose veins of lower extremity in the puerperium against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O87.4?

Under the General Equivalence Mappings, varicose veins of lower extremity in the puerperium converts to ICD-9-CM 671.02 (varic vein leg-del w p/p) and 671.04 (varic vein leg-postpart). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.