ICD-10: I87.30

Chronic venous hypertension (idiopathic) is a condition characterized by increased pressure in the venous system, particularly in the lower extremities, without an identifiable cause. The ICD-10-CM code for this condition is I87.30, which specifically denotes chronic venous hypertension without complications.

Clinical Description

Definition

Chronic venous hypertension occurs when the veins in the legs are unable to effectively return blood to the heart, leading to elevated venous pressure. This condition can result in various symptoms and complications, but in the case of I87.30, it is classified as idiopathic, meaning that the underlying cause is unknown and there are no associated complications.

Symptoms

Patients with chronic venous hypertension may experience a range of symptoms, including:
- Swelling: Often in the legs and ankles, particularly after prolonged standing or sitting.
- Pain or discomfort: This may be described as aching, heaviness, or fatigue in the legs.
- Skin changes: Such as discoloration or thickening of the skin, particularly around the ankles.
- Varicose veins: Enlarged, twisted veins that may become visible under the skin.

Pathophysiology

The condition is primarily due to venous valve incompetence, which leads to reflux of blood and increased venous pressure. Over time, this can cause structural changes in the veins and surrounding tissues, although in the idiopathic form, these changes are not linked to any specific underlying disease or condition.

Diagnosis

Diagnosis of chronic venous hypertension typically involves:
- Clinical evaluation: A thorough history and physical examination to assess symptoms and risk factors.
- Ultrasound: Doppler ultrasound may be used to evaluate venous flow and valve function, helping to rule out other causes of venous insufficiency.
- Ankle-brachial index (ABI): This test can help assess blood flow and rule out arterial disease.

Treatment

Management of chronic venous hypertension (idiopathic) focuses on alleviating symptoms and preventing complications. Treatment options may include:
- Compression therapy: Use of compression stockings to improve venous return and reduce swelling.
- Lifestyle modifications: Encouraging regular exercise, weight management, and elevating the legs to reduce venous pressure.
- Medications: In some cases, medications may be prescribed to manage symptoms or improve venous tone.

Prognosis

The prognosis for patients with chronic venous hypertension (idiopathic) is generally favorable, especially with appropriate management. While the condition can lead to complications such as venous ulcers or thrombosis if left untreated, the absence of complications in cases coded as I87.30 suggests a lower risk profile.

Conclusion

Chronic venous hypertension (idiopathic) without complications, represented by the ICD-10 code I87.30, is a manageable condition that requires a comprehensive approach to diagnosis and treatment. Understanding the clinical features, diagnostic methods, and treatment options is essential for healthcare providers to effectively support patients experiencing this condition. Regular follow-up and monitoring can help mitigate symptoms and prevent potential complications associated with chronic venous hypertension.

Chronic venous hypertension (idiopathic) without complications, classified under ICD-10 code I87.30, is a condition characterized by increased pressure in the venous system of the lower extremities. This condition can lead to various clinical presentations, signs, and symptoms, which are essential for diagnosis and management. Below is a detailed overview of the clinical aspects associated with this condition.

Clinical Presentation

Chronic venous hypertension typically manifests in the lower limbs and is often a result of venous insufficiency. Patients may present with a range of symptoms that can vary in severity. The condition is termed "idiopathic" when no specific underlying cause can be identified, distinguishing it from secondary forms of venous hypertension that may arise from identifiable factors such as deep vein thrombosis or other vascular diseases.

Signs and Symptoms

1. Swelling (Edema):
   - Patients often experience swelling in the legs, particularly after prolonged standing or sitting. This swelling may be more pronounced at the end of the day and can improve with elevation of the legs.

2. Pain and Discomfort:
   - Many individuals report aching, heaviness, or cramping in the legs, especially after extended periods of activity. This discomfort may be relieved by rest or leg elevation.

3. Skin Changes:
   - Chronic venous hypertension can lead to skin changes, including:

   • Hyperpigmentation: Darkening of the skin, particularly around the ankles.
   • Eczema: Inflammation of the skin, which may present as redness, itching, and scaling.
   • Lipodermatosclerosis: A condition characterized by thickening and hardening of the skin and subcutaneous tissue.

4. Varicose Veins:
   - The presence of varicose veins is common, which are dilated and tortuous veins that can be visible under the skin.

5. Ulceration:
   - Although classified as "without complications," some patients may develop venous ulcers, particularly if the condition is chronic and untreated. These ulcers typically occur around the ankles and are often difficult to heal.

Patient Characteristics

Patients with chronic venous hypertension (idiopathic) often share certain characteristics:

• Age: The condition is more prevalent in older adults, particularly those over 50 years of age, due to the natural aging process and cumulative effects of venous pressure over time.

• Gender: Women are more frequently affected than men, possibly due to hormonal factors and pregnancy-related changes in venous circulation.

• Obesity: Increased body weight can exacerbate venous hypertension due to added pressure on the venous system.

• Sedentary Lifestyle: Individuals with a sedentary lifestyle or those who stand for prolonged periods (e.g., nurses, teachers) are at higher risk.

• Family History: A family history of venous disease may increase the likelihood of developing chronic venous hypertension.

• Previous Venous Issues: A history of deep vein thrombosis or previous venous surgeries can predispose individuals to chronic venous hypertension.

Conclusion

Chronic venous hypertension (idiopathic) without complications is a significant condition that can lead to discomfort and various complications if left untreated. Recognizing the clinical presentation, signs, and symptoms is crucial for healthcare providers to implement appropriate management strategies. Early intervention, lifestyle modifications, and possibly compression therapy can help alleviate symptoms and prevent progression of the disease. Understanding patient characteristics can also aid in identifying those at higher risk, allowing for targeted preventive measures.

Chronic venous hypertension (idiopathic) without complications, designated by the ICD-10 code I87.30, is a condition characterized by increased pressure in the venous system without identifiable complications. Understanding alternative names and related terms for this condition can enhance clarity in medical documentation and communication. Below are some alternative names and related terms associated with this diagnosis.

Alternative Names

1. Chronic Venous Insufficiency (CVI): While CVI often refers to a broader spectrum of venous disorders, it can sometimes be used interchangeably with chronic venous hypertension, particularly when discussing the underlying mechanisms of venous pressure elevation.

2. Venous Hypertension: This term is a more general descriptor that refers to elevated venous pressure, which can occur in various conditions, including chronic venous hypertension.

3. Idiopathic Venous Hypertension: This term emphasizes the unknown cause of the condition, aligning closely with the "idiopathic" designation in the ICD-10 code.

4. Primary Venous Hypertension: This term may be used to differentiate from secondary causes of venous hypertension, although it is less commonly used in clinical practice.

Related Terms

1. Chronic Venous Disease (CVD): This encompasses a range of conditions affecting the venous system, including chronic venous hypertension, and is often used in discussions about venous health.

2. Venous Stasis: This term refers to the stagnation of blood flow in the veins, which can be a consequence of chronic venous hypertension.

3. Varicose Veins: While not synonymous, varicose veins can be a manifestation of chronic venous hypertension, as increased venous pressure can lead to vein dilation and valve incompetence.

4. Post-Thrombotic Syndrome: Although this syndrome is typically associated with a history of deep vein thrombosis (DVT), it can also relate to chronic venous hypertension in patients with a history of venous obstruction.

5. Peripheral Venous Disease: This broader term includes various conditions affecting the veins in the extremities, including chronic venous hypertension.

Conclusion

Understanding the alternative names and related terms for ICD-10 code I87.30 is crucial for accurate diagnosis, treatment, and communication among healthcare providers. These terms not only facilitate better understanding of the condition but also aid in the documentation and coding processes essential for patient care and billing. If you have further questions or need additional information on this topic, feel free to ask!

Chronic venous hypertension (idiopathic) without complications, classified under ICD-10 code I87.30, is a condition characterized by increased pressure in the venous system, particularly in the lower extremities, without any identifiable underlying cause or complications. The diagnosis of this condition typically involves a combination of clinical evaluation, patient history, and diagnostic testing. Below are the key criteria used for diagnosis:

Clinical Evaluation

1. Patient History:
   - A thorough medical history is essential, focusing on symptoms such as leg swelling, pain, heaviness, or fatigue, particularly after prolonged standing or sitting.
   - The clinician should inquire about any previous venous issues, family history of venous disease, and lifestyle factors that may contribute to venous hypertension, such as obesity or sedentary behavior.

2. Physical Examination:
   - A physical examination is conducted to assess for signs of venous insufficiency, including:

   • Swelling (edema) in the legs or ankles.
   • Varicose veins or spider veins.
   • Skin changes, such as discoloration or ulceration.
   • The examination may also include checking for signs of deep vein thrombosis (DVT) or other complications.

Diagnostic Testing

1. Non-Invasive Venous Studies:
   - Doppler Ultrasound: This is the most common test used to evaluate venous function. It assesses blood flow in the veins and can help identify any obstructions or reflux (backward flow of blood).
   - Venography: In some cases, a venogram may be performed, where a contrast dye is injected into the veins to visualize them on X-ray. However, this is less common due to the availability of non-invasive methods.

2. Ankle-Brachial Index (ABI):
   - This test compares the blood pressure in the patient's ankle with the blood pressure in the arm to assess for peripheral artery disease, which can coexist with venous issues.

3. Clinical Classification Systems:
   - The CEAP classification (Clinical, Etiological, Anatomical, and Pathophysiological) may be used to categorize the severity of chronic venous disease, helping to confirm the diagnosis of chronic venous hypertension.

Exclusion of Other Conditions

• It is crucial to rule out other potential causes of venous hypertension, such as:
• Deep vein thrombosis (DVT).
• Congestive heart failure.
• Other systemic conditions that may contribute to venous pressure elevation.

Conclusion

The diagnosis of chronic venous hypertension (idiopathic) without complications (ICD-10 code I87.30) relies on a comprehensive approach that includes patient history, physical examination, and appropriate diagnostic testing. By systematically evaluating these factors, healthcare providers can accurately diagnose this condition and differentiate it from other venous disorders. Proper diagnosis is essential for determining the most effective management and treatment strategies for affected patients.

Chronic venous hypertension (idiopathic) without complications, classified under ICD-10 code I87.30, is a condition characterized by increased pressure in the venous system of the lower extremities. This condition can lead to various symptoms, including swelling, pain, and skin changes. Understanding the standard treatment approaches for this condition is crucial for effective management and patient care.

Overview of Chronic Venous Hypertension

Chronic venous hypertension occurs when the veins in the legs are unable to efficiently return blood to the heart, leading to increased pressure in the venous system. This can result from various factors, including venous valve incompetence, deep vein thrombosis, or other underlying venous disorders. In the case of idiopathic chronic venous hypertension, the exact cause is unknown, but it is essential to manage the symptoms and prevent complications.

Standard Treatment Approaches

1. Conservative Management

Conservative treatment options are often the first line of defense for managing chronic venous hypertension. These include:

• Compression Therapy: The use of compression stockings is a cornerstone of treatment. Graduated compression stockings help improve venous return and reduce swelling by applying pressure to the legs, which can alleviate symptoms and prevent progression of the disease[1][2].

• Lifestyle Modifications: Patients are encouraged to adopt lifestyle changes that can improve venous health. This includes regular exercise, weight management, and avoiding prolonged periods of standing or sitting. Elevating the legs can also help reduce swelling and discomfort[3].

• Skin Care: Proper skin care is vital to prevent complications such as dermatitis or ulceration. Keeping the skin moisturized and protected can help maintain skin integrity[4].

2. Medications

While there is no specific medication for chronic venous hypertension, certain medications may be prescribed to manage symptoms:

• Venoactive Drugs: Medications such as flavonoids (e.g., diosmin) may be used to improve venous tone and reduce symptoms like pain and heaviness in the legs[5].

• Pain Management: Non-steroidal anti-inflammatory drugs (NSAIDs) may be recommended for pain relief, especially if the patient experiences significant discomfort[6].

3. Interventional Procedures

In cases where conservative management is insufficient, interventional procedures may be considered:

• Endovenous Laser Treatment (EVLT): This minimally invasive procedure uses laser energy to close off varicose veins, which can help reduce venous hypertension and improve symptoms[7].

• Sclerotherapy: This involves injecting a solution into the affected veins to cause them to collapse and close, redirecting blood flow to healthier veins[8].

• Surgical Options: In more severe cases, surgical interventions such as vein stripping or ligation may be necessary to remove or tie off problematic veins[9].

4. Monitoring and Follow-Up

Regular follow-up appointments are essential to monitor the condition and adjust treatment as necessary. Patients should be educated about the importance of adhering to treatment plans and recognizing any changes in their symptoms that may require further evaluation.

Conclusion

The management of chronic venous hypertension (idiopathic) without complications primarily involves conservative measures, lifestyle modifications, and, when necessary, interventional procedures. Early diagnosis and treatment are crucial to prevent complications and improve the quality of life for affected individuals. Patients should work closely with their healthcare providers to develop a personalized treatment plan that addresses their specific needs and symptoms. Regular monitoring and education about the condition can empower patients to manage their health effectively.

References

1. Article - Billing and Coding: Treatment of Chronic Venous ...
2. Clinical Guideline Varicose Vein Treatment
3. Treatment of varicose veins of the lower extremity - MCS
4. National Coding Advice
5. ICD-10 Code for Chronic venous hypertension (idiopathic) without ...
6. ICD-10-CM Diagnosis Codes in Group I87
7. CG-SURG-106 Venous Angioplasty with or without Stent ...
8. medical-policy-foot-care-services. ...
9. 2025 ICD-10-CM Diagnosis Code I87.30 - The Web's Free 2023 ICD-10-CM ...