Varicose veins ICD-10 codes

Coding of varicose veins in the ICD

Such a common pathology as varicose veins according to ICD 10 has the code “I 83”, “I 85”, “I 86”. Varicose veins are an irreversible pathological deformation (expansion, stretching) of venous vessels of various locations

Etiology of the disease

There are several etiological reasons for the occurrence of this pathology:

Features of the classification of varicose veins according to ICD 10

According to ICD 10, varicose veins are included in class “I” - vascular diseases that are not classified in other headings. This medical classification indicates the location of the pathology and the presence or absence of complications. According to the Medical Classification of Diseases, 10th revision of 2007, this disease includes varicose veins of the lower extremities, esophagus, and other localizations. Each category has its own subsections. It is important that this pathology in ICD 10 does not include damage to the lymphatic vessels, but only to the venous ones. Thus, varicose veins of the lower extremities in ICD 10 has the following subsections:

The category “Varicose veins of the esophagus” (“I – 85”) has two subsections – damage to the esophageal veins with bleeding (“I – 85.0”) and without this complication (“I – 85.9”).

There is also such a category as “Varicose veins of other locations” (ICD 10 code – “I 86”), this includes the following subsections:

• Varicose veins of the sublingual veins (“I 86.0”).
• Varicose veins of the scrotum (“I 86.1”).
• Varicose veins of the venous vessels of the pelvis (“I 86.2”).
• Varicose veins of the vulva (I 86.3).
• Varicose veins of the venous vessels of the stomach (“I 86.4”).
• Varicose veins of venous vessels of other known locations (“I 86.8”).

Varicose veins in ICD 10 do not have a special code and are designated as “varicose veins” with specification of the localization of the pathology.

Preventive measures

Prevention of such an unpleasant disease consists of following simple rules: optimal distribution of physical activity, following a diet (eating a minimum amount of fatty, fried and spicy foods), monitoring hormonal levels (regular examination and testing by a gynecologist), wearing comfortable shoes. Also of great importance is a careful attitude to your cardiovascular system - periodic examinations by a cardiologist allow you to identify possible disorders in the early stages and begin the necessary treatment in a timely manner.

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Varicose veins ICD 10

The first attempts to create systems of this kind were made in the 18th century. At that time, the “Methodology of Nosology” appeared from a famous scientist at that time, whom the world knows under the name Sauvage. His work became the basis of many more advanced systems in the future, and absorbed a huge base of theoretical knowledge collected by the scientist himself, his colleagues, and predecessors.

ICD-10 - International Classification of Diseases

In modern medical practice, there are classifiers of diseases that are uniform for the whole world. One of them, the most famous, is called the ICD and its current edition number 10 is currently valid. For any disease, specialists establish their own code.

Varicose veins ICD 10

In the ICD 10 classifier, a separate class IX is allocated for diseases associated with circulatory disorders.

In fact, the concept of varicose veins is general and collective for various disorders in the circulatory system. They are considered both in combination and separately. Often such dysfunctions are a consequence of the development of various chronic diseases, or exposure to external factors (childbirth, excessive physical activity, hormonal drugs, including contraceptives).

Such serious problems as thrombophlebitis and forms of venous insufficiency are also included in the above list. Now medicine considers varicose veins as follows:

• If the disease has different forms, then each of them is, as it were, a “sub-item” of the list of format 1.1; 1.2 and so on. For example, such a common problem as varicose veins is indicated by code 183.
• Next comes the division into damage to veins with and without ulcers and inflammation, and combinations of these manifestations.

So, as you know, this disease is one of the forms of phlebectasia - a common circulatory disorder accompanied by vascular damage. In the new edition of the classifier, this is a separate subparagraph (subcategory) 183.9.

• This disease can even be congenital. In ICD 10 such cases are designated Q27.4.
• hemorrhoids are also highlighted separately – 184
• varicose veins of the pelvis, scrotum, and other areas – 186.
• Chronic venous insufficiency (peripheral) – 187.2.
• Unspecified vein damage – 187.9.
• To dilate the veins of the esophagus - 185 (0.9).
• Thrombophlebitis/phlebitis – 180.0 – 180.9.

Diseases associated with arteries, capillaries, arterioles are considered separately - 170-179.

Classifier information

Information about the ICD-10 classifier

ICD 10 notations can be difficult to understand. After all, this is a new edition in which a number of points have been combined, while others, on the contrary, have been made separate for the convenience of health workers.

• The system was designed so that review would take place once every nine years. The tenth edition has been current since 1990, adopted in most countries since 1994.
• In the Russian Federation, the healthcare system has been used since 1999 (Order of the Ministry of Health No. 170 of May 27, 1997).
• The document occupies three volumes, in which all diseases are divided into 21 classes. They, in turn, are divided into headings and sub-headings, which have alphabetic and numerical designations.
• Currently, work is actively underway to create a new version - ICD 11, the use of which is planned for 2018.
• Diseases of the veins and lymphatic vessels occupy more than fifty subsections within the ninth grade. Of these, 12 are directly related to varicose veins.

Varicocele code according to ICD 10

In medicine, there is such a pathology as varicocele. The disease is an enlargement of the veins leading from the seminal canal to the testicles. Often, the majority of patients are teenage boys, and the sooner a blood flow disorder is detected, the faster and less problematic it will be possible to restore the functioning of the entire system.

In the absence of proper treatment, the possibility of male infertility and potency problems cannot be ruled out. Varicocele disease is assigned by ICD 10 (International Classification of Diseases of the corresponding edition) code I86.1. It belongs to the group of pathologies that are varicose veins of the lower extremities.

The main reason for the development and progression of a pathology called varicocele (ICD code 10 I86.1) is insufficient blood supply or improper circulation in the genital area, as well as improper functioning of the spermatic cord. If we consider the normal and habitual state for a person, then the process of blood flow will be from the lower extremities upward.

However, when a man performs physical exercises or takes a vertical position, the valves that are supposed to hold back the flow of blood do not cope with their functions, as a result of which blood clots and venous nodes form in the vessels.

Varicocele pathology develops (ICD 10 code I86.1) under the influence of the following unfavorable factors:

• Connective tissue deficiency;
• Pathological functioning of the valve apparatus;
• Defective development of the inferior vena cava.

Also, a provoking factor can be increased pressure in the peritoneum, which often occurs in men who are engaged in intense physical labor, have problems with defecation, suffer from chronic cough, and constantly overexert their abdominal muscles. However, doctors consider all these reasons to be indirect.

Most often, varicocele (ICD code I86.1) begins to develop in those patients who have certain pathologies of the kidneys, pelvis and retroperitoneum, being considered a complication of the underlying disease. Medical practitioners call this condition secondary valvular insufficiency.

In most cases, specialists diagnose varicocele on the left (ICD code 10 I86.1), much less often both testicles are affected by pathology at once, and such patients have serious problems with spermatogenesis. If pathology is detected in representatives of the stronger sex in old age, then it is imperative to undergo a thorough diagnosis of the entire body, in particular the genitourinary system.

Often, with a diagnosed varicocele (ICD code 10 I86.1), malignant tumor formations are found in men of retirement age.

Depending on how difficult the process of blood outflow is with varicocele (ICD code 10 I86.1), experts distinguish several degrees of progression of the pathology: zero, first, second and third. The initial stage of development of varicose veins of the spermatic cord can be suspected extremely rarely.

At this stage, doctors are not able to visually detect the pathology, and the patient does not complain of pain and discomfort. The diagnosis can be made by chance if an ultrasound examination of the scrotum or Doppler sonography is performed, which can be used to assess the speed of blood circulation.

When the disease reaches the first degree, varicocele (ICD code 10 I86.1) in children and adults can be detected by palpation examination if the patient is in an upright position. During this period, the patient begins to feel minor nagging pain in the testicular area.

During walking or physical activity, an increase in discomfort is noted, but when a change in body position occurs, the man begins to feel good again. The final diagnosis is made by the doctor only after an instrumental examination.

In the absence of proper treatment, the disease progresses and develops into the second stage. This period allows the specialist to determine the presence of venous dilation, regardless of the patient’s position. The clinical picture at the second stage of varicocele (according to ICD 10 code I86.1) is quite pronounced, so additional examinations are not required to confirm the diagnosis. If you need to clarify the root cause of the pathology, Doppler ultrasound or ultrasound will be prescribed.

The third stage of progression is characterized by the presence of visible varicose veins in the scrotal area that cover the affected testicle. In addition, multiple vascular nodular plexus is noted, and there is a disturbance in the process of sperm production.

As for painful or uncomfortable sensations, they become constant companions of a man and do not leave him, regardless of whether the position of the body changes or not. Experts also note that with the third degree of varicocele (ICD code 10 I86.1), there is a significant deformation of the scrotum.

It’s worth saying right away that a disease such as varicocele, the ICD 10 code in children is the same as in adults (I86.1), must be cured, since the pathology does not go away on its own. Depending on the individual characteristics of each organism, the progression of the disease will be rapid or slow.

Primary, visible signs can only be detected when the problem reaches the second or first stage of development. During this period, with a thorough diagnosis, it will be possible to notice that the patient has certain hormonal imbalances, and there are also stagnant formations in the testicular tissues.

Acute pain is a sign of disease

As for hormonal imbalances, they will be presented in the form of the following problems:

• Signs of erectile dysfunction begin;
• The level of libido (sexual desire) decreases significantly;
• Sperm quality deteriorates.

It is much easier to identify congestive formations, since when walking and doing physical exercises the patient feels pain and discomfort in the scrotum area.

With the development of varicocele to the final third stage, the nature of the pain in a man changes, it becomes pronounced and sharp, while a feeling of fullness in the bladder is present during bowel movements. A feature of this condition is that painkillers do not bring the desired therapeutic effect.

Also, some patients complain that they have a burning sensation in the genitals, and the amount of sweat produced increases. The scrotum itself undergoes deformation, and the natural flesh color is replaced by a blue-purple hue. Intimacy becomes impossible because the man feels severe pain.

A pathology such as varicocele (ICD code I86.1) can cause the development of a serious complication. It often happens that untreated varicose veins of the spermatic cord lead to male infertility.

The thing is that when excessive pressure is created in the testicle, the process of production of germ cells is disrupted, and the sperm themselves, even if they are formed, are characterized by low activity and viability, and cannot fertilize the egg.

Loss of sexual desire

It is also worth saying that if proper therapy is not carried out, then you can notice an increase in body temperature in the scrotum, which clearly leads to the death of sperm, because under the influence of free radicals the destruction of blood vessels occurs, and the active substances are thrown back from the kidneys to the adrenal glands.

Also, varicocele can cause the affected testicle to atrophy, since the pathological area is almost a quarter smaller than the healthy area. As a result, the scrotum sag and sexual functions are impaired. If a man notices pain or discomfort in the genital area, and in particular the testicles, he should immediately consult a doctor and undergo a thorough diagnosis.

If the pathology has reached an advanced stage, then conservative treatment will not bring the desired therapeutic effect and recovery will not occur. That is why all doctors insist on performing surgical intervention. Thus, in modern medicine, several surgical techniques are known:

1. Open operation;
2. Operation Marmar;
3. Sclerotherapy;
4. Laparoscopy;
5. Microsurgical intervention.

If a standard open procedure has been prescribed, it is performed using general anesthesia. After this, an incision is made in the peritoneal area, no longer than 5 centimeters, through which the detected varicose plexus is ligated. If treatment is performed when the disease is at an advanced stage, then the doctor will perform a complete removal of the affected testicle. The risk of relapse with such an operation is within 40%.

Open intervention technique

Doctors consider the Marmara operation, in which the incision is no more than three centimeters, safer. It is through this access that the doctor, using a special medical instrument, penetrates the affected area and performs ligation of varicose veins. The patient is not hospitalized and is discharged on the day of surgery.

During sclerotherapy, a puncture of the femoral vein is made in the groin area, and a specialist injects a special sclerosing substance through the canal, which prevents the further flow of blood along this channel. Doctors practice this approach. If bilateral varicocele is diagnosed.

Laparoscopy involves making three incisions through which a specialist inserts an endoscope equipped with a light and a camera. Next, medical titanium staples are applied to the affected vein, thereby blocking the blood flow. The intervention time is no more than 40 minutes, and local anesthesia is used.

A microsurgical operation is performed under general anesthesia. After complete anesthesia, the doctor makes a minor incision in the groin area, after which the testicular vein is transplanted into the epigastric vein, and the impaired blood flow is restored. With this intervention, relapses occur in only 0.5% of patients.

Varicocele coding according to ICD 10

Dilatation of the veins of the spermatic cord and testicle is called varicocele. Usually one egg is affected, usually the left one, but cases of involvement of the entire scrotum have been reported, which provides for the ICD 10 code for varicocele.

The International Classification of Diseases, 10th revision, classifies this pathology as varicose veins of the lower extremities, which has the code I86.1 . Most often, varicocele affects men aged 18-26 years and poses a real threat to their reproductive system if the problem is not recognized and solved in time.

There are several types of etiotropic factors, that is, direct and indirect. Direct factors include valve pathology, which cannot cope with blood pressure, which causes vascular overload, congestion and, as a result, venous nodes develop. The indirect factors for the occurrence of the disease are the following:

• hard physical work;
• frequent constipation;
• accumulation of large amounts of gases;
• passive lifestyle;
• excess weight;
• lack of regular sex;
• long-term erect penis;
• chronic problems of the genitourinary system, in particular the kidneys;
• Oncological tumor processes are characteristic of venous blockage in old age.

It should be noted that there is a significant impairment in sperm production due to circulatory disorders.

Most men note a number of increasing symptoms, which in the international classification of diseases of varicocele is defined by code I86.1. Subjective complaints are noted as follows:

• painful sensations in the scrotum appear or intensify during heavy physical work, changing body position, with the onset of an erection, after defecation;
• reduction in the size of the testicle involved in the pathological process;
• even minor discomfort in the perineal area in boys and young adults should be a reason to visit a doctor.

Very often, this pathology is detected during routine medical examinations, since the course of the pathological process in 30% of cases has no symptoms.

Stages of the pathological process

In ICD 10, varicocele has a code that defines 4 degrees of the process of blockage of the veins of the scrotum and spermatic cord. It is possible to determine how far the process of venous stagnation has spread and worsened based on the established classification of the following examination data:

• the first degree includes identifying dilated veins using ultrasound or other, more accurate technology;
• if only in a standing position it is possible to palpate a pathological thickening of the veins, we should talk about the second degree of varicocele;
• dilation of the veins is palpably noted in a supine position, without load, indicating the third stage;
• visual changes in the volume of the genital organ, which is significantly reduced – fourth.

If any pathological manifestations are detected, every male should contact a urologist or andrologist to establish a diagnosis and determine the method of treatment.

Preventive recommendations

In order to minimize the risk of varicose veins in the genitals, men should adhere to the following recommendations:

• active lifestyle;
• regular sex;
• daily bowel movements;
• weight normalization;
• varied and regular diet;
• ignoring smoking and alcohol.

Completing these measures will help to avoid stagnation of blood circulation in the pelvis, which will prevent the development of varicocele and testicular dysfunction.

Esophageal varices with bleeding

ICD-10 Category: I85.0

Definition and general information [edit]

Etiology and pathogenesis[edit]

Varicose veins of the esophagus and stomach (portal hypertension)

Clinical manifestations[edit]

Varicose veins of the esophagus with bleeding: Diagnosis[edit]

Differential diagnosis[edit]

Varicose veins of the esophagus with bleeding: Treatment[edit]

1. Balloon tamponade of the esophagus is carried out using a three-channel Sengstaken-Blakemore probe (see Chapter 12, paragraph X). It is used for diagnostic and therapeutic purposes if intravenous infusion of vasopressin is ineffective. First, the stomach is washed, removing old blood. When using a three-channel probe, the suctioned stomach contents do not mix with the contents of the esophagus. Balloon tamponade is a temporary way to stop bleeding: after deflation of the esophageal balloon, bleeding resumes in half of the patients. Possible complications: rupture of the gastric balloon with aspiration of gastric contents and asphyxia, rupture of the esophagus. The method requires special care; The Sengstaken-Blakemore probe is used only in the intensive care unit under the continuous supervision of staff.

2. Portocaval shunting

A. If sclerotherapy is ineffective (bleeding does not stop or resumes after double administration of sclerosing agents), a portacaval shunt is indicated. It is desirable that the patient has a normal or slightly elevated bilirubin level, a close to normal serum albumin level, and no signs of encephalopathy and ascites.

1) The end (portal vein) to the side (vena cava). All blood from the portal system of the liver is directed to bypass the liver. This operation is not performed when liver function is normal and blood flow is established through natural portocaval anastomoses. Surgery is resorted to if the application of other types of shunts is impossible.

2) Side (portal vein) to side (vena cava). This method of shunting is preferable for patients with ascites and established blood flow through natural portacaval anastomoses. A type of side-to-side shunt is a mesenteric-caval shunt.

3) Distal splenorenal. This shunt provides satisfactory liver perfusion and is the most physiological. Not recommended for ascites and established blood flow through natural portocaval anastomoses.

V. Before surgery, it is necessary to examine the anatomical features of the venous system and portal blood flow, and measure the wedge pressure of the hepatic vein.

3. In some cases, gastric vein embolization may be effective. The approach is through a functioning umbilical or superior mesenteric vein (in the latter case, a small incision in the abdominal wall is required).

Prevention[edit]

Sources (links) [edit]

Additional reading (recommended)[edit]

1. Donahue, P. E., and Nyhus, L. M. Massive Upper Gastrointestinal Hemorrhage in Surgery of the Esophagus, Stomach and Small Intestine (5th ed.). Boston: Little, Brown, 1995.

How I got rid of varicose veins in 1 week

Published 14.02.2015, 19:51 | Author: kseniya

Hello, Ksyusha is with you again! I want to share my little joy with you. I managed to GET RID of varicose veins right at home in just 1 week.

Remember, I wrote about 1 year ago that my legs hurt terribly and varicose veins appeared, and I asked for your advice on how to get rid of them?

So, I tried all the folk remedies, including birch buds and other crap, plus drugs to improve blood flow and tights, and so on. THIS IS ALL COMPLETE BULLSHIT . Does not help. Useless.

I went to doctors, who in the end did not help me, but only scolded me for delaying treatment. I took a week off from work at my own expense. I was depressed, thinking about how to get rid of varicose veins and restore the beauty and health of my legs , and searched on the Internet for various treatment methods.

Rescue from varicose veins found?!

And then, one day, while browsing blogs on the Internet, on some medical forum I was attracted by a note from a Moscow phlebologist that in Russia the treatment of varicose veins is not effective, because traditional medicine treats not the cause of the disease , but its symptoms.

At the same time, he referred to a new remedy for varicose veins, Cream of varicose veins, which has a very high percentage of positive results. I spent a long time looking for information about where I could buy this drug, and found this store .

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In general, I ordered Cream of varicose veins. The parcel arrived in about a week. I unpacked everything, read the instructions, and started using it.

What result? Are varicose veins cured?

I started using this gel as it was written in the instructions. And what do you think? Already on the 5th day, the swelling subsided and varicose veins began to disappear before my eyes and my jaw almost dropped to the floor. I got rid of VARICOSE. In 5 days. You can believe it. I couldn't believe my eyes. My legs were cleared of varicose veins, became beautiful and stopped hurting. I wasn't mistaken and I wasn't crazy! I can't describe my joy. The last time I was so happy was probably 20 years ago :)

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I'm incredibly glad that everything turned out this way. At the same time that I was getting rid of varicose veins, I realized that the problem for many of us is that the simplest things seem ineffective to us. And more complex operations, for example, are effective. But that's not true. Varicose veins can be cured in a simpler, faster and safer way. Checked!

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Varicose veins code according to ICD 10

Varicose veins code according to ICD 10

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