ICD-10 code for varicose veins legs puerperal

The ICD-10-CM code for varicose veins legs puerperal is O87.4 (Varicose veins of lower extremity in the puerperium). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on O87.4.

Within O87 (venous complications and hemorrhoids in the puerperium), O87.4 is specifically for varicose veins of lower extremity in the puerperium. Related codes cover superficial thrombophlebitis in the puerperium (O87.0), deep phlebothrombosis in the puerperium (O87.1), hemorrhoids in the puerperium (O87.2), cerebral venous thrombosis in the puerperium (O87.3), other venous complications in the puerperium (O87.8) and venous complication in the puerperium, unspecified (O87.9).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 769 (Postpartum and Post Abortion Diagnoses with O.R. Procedures, relative weight 1.6673) and DRG 776 (Postpartum and Post Abortion Diagnoses without O.R. Procedures, relative weight 0.6721), in MDC 14 (Pregnancy, Childbirth and the Puerperium), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.