ICD-9 Code 454.2
Varicose veins of lower extremities with ulcer and inflammation
Not Valid for Submission
454.2 is a legacy non-billable code used to specify a medical diagnosis of varicose veins of lower extremities with ulcer and inflammation. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
| ICD-9: | 454.2 |
| Short Description: | Varicos leg ulcer/inflam |
| Long Description: | Varicose veins of lower extremities with ulcer and inflammation |
Convert 454.2 to ICD-10
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
- I83.209 - Varicos vn unsp low extrm w ulc of unsp site and inflam
Code Classification
-
Diseases of the circulatory system (390–459)
-
Diseases of veins and lymphatics, and other diseases of circulatory system (451-459)
- 454 Varicose veins of lower extremities
-
Diseases of veins and lymphatics, and other diseases of circulatory system (451-459)
Information for Medical Professionals
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:
- Adult diagnoses (age 15 through 124) Adult diagnoses (age 15 through 124)
Adult diagnoses: Age range is 15–124 years inclusive.
Index to Diseases and Injuries
References found for the code 454.2 in the Index of Diseases and Injuries:
- Dermatitis allergic contact occupational venenata 692.9
- hypostatic hypostatica 454.1
- with ulcer 454.2
- stasis 454.1
- ulcerated or with ulcer varicose 454.2
- varicose 454.1
- with ulcer 454.2
- hypostatic hypostatica 454.1
- Eczema acute allergic chronic erythematous fissum occupational rubrum squamous 692.9
- stasis lower extremity 454.1
- ulcerated 454.2
- stasis lower extremity 454.1
- Ulcer ulcerated ulcerating ulceration ulcerative 707.9
- foot indolent SEE ALSO
See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Ulcer lower extremity 707.15- varicose 454.0
- inflamed or infected 454.2
- varicose 454.0
- lower extremity atrophic chronic neurogenic perforating pyogenic trophic tropical 707.10
- varicose 454.0
- inflamed or infected 454.2
- varicose 454.0
- stasis leg venous 454.0
- inflamed or infected 454.2
- varicose lower extremity any part 454.0
- inflamed or infected 454.2
- foot indolent SEE ALSO
- Varicose
- ulcer lower extremity any part 454.0
- inflamed or infected 454.2
- vein lower extremity ruptured SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Varix 454.9- with
- inflammation or infection 454.1
- ulcerated 454.2
- stasis dermatitis 454.1
- with ulcer 454.2
- ulcer 454.0
- inflamed or infected 454.2
- inflammation or infection 454.1
- inflamed or infected 454.1
- with ulcer 454.2
- ulcerated 454.0
- inflamed or infected 454.2
- with
- ulcer lower extremity any part 454.0
- Varix lower extremity ruptured 454.9
- with
- inflammation or infection 454.1
- with ulcer 454.2
- stasis dermatitis 454.1
- with ulcer 454.2
- ulcer 454.0
- with inflammation or infection 454.2
- inflammation or infection 454.1
- inflamed or infected 454.1
- ulcerated 454.2
- ulcerated 454.0
- inflamed or infected 454.2
- with
Information for Patients
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
[Read More]
ICD-9 Footnotes
General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Index of Diseases and Injuries Definitions
- And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
- Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
- NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
- See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
- See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
- 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.
