I87.313: Chronic venous hypertension (idiopathic) with ulcer of bilateral lower extremity
I87.313, chronic venous hypertension (idiopathic) with ulcer of bilateral lower extremity, is listed as a covered diagnosis in 5 Medicare billing and coding articles that apply to 12 HCPCS Level II codes, including G0127 (Trimming of dystrophic nails, any number), G0283 (Electrical stimulation (unattended), to one or more areas…), G0281 (Electrical stimulation, (unattended), to one or more…). The articles come from 4 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with I87.313 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0127 | Trimming of dystrophic nails, any number | Special coverage instructions apply | — | 2 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | Carrier judgment | — | 3 |
| G0281 | Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0329 | Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0158 | Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0160 | Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G2169 | Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | Carrier judgment | — | 1 |
| G2250 | Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment | Carrier judgment | — | 1 |
| G2251 | Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion | Carrier judgment | — | 1 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
Medicare policy articles listing I87.313
- A57954: Billing and Coding: Routine Foot Care (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33941, L35138, L37643
- A52996: Billing and Coding: Routine Foot Care (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33941, L35138, L37643
- A53057: Billing and Coding: Home Health Occupational Therapy (Palmetto GBA (HHH MAC); 5 Level II codes). LCD with the same title: L34560
- A53064: Billing and Coding: Outpatient Occupational Therapy (Palmetto GBA (MAC - Part A); 3 Level II codes). LCD with the same title: L34427
- A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC); 7 Level II codes). LCD with the same title: L33942
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other I87 diagnoses (Other disorders of veins)
- I87.311 — Chronic venous hypertension (idiopathic) with ulcer of right lower…
- I87.312 — Chronic venous hypertension (idiopathic) with ulcer of left lower…
- I87.331 — Chronic venous hypertension (idiopathic) with ulcer and inflammation…
- I87.332 — Chronic venous hypertension (idiopathic) with ulcer and inflammation…
- I87.333 — Chronic venous hypertension (idiopathic) with ulcer and inflammation…
- I87.391 — Chronic venous hypertension (idiopathic) with other complications of…
- I87.392 — Chronic venous hypertension (idiopathic) with other complications of…
- I87.393 — Chronic venous hypertension (idiopathic) with other complications of…
- I87.011 — Postthrombotic syndrome with ulcer of right lower extremity
- I87.012 — Postthrombotic syndrome with ulcer of left lower extremity
- I87.013 — Postthrombotic syndrome with ulcer of bilateral lower extremity
- I87.031 — Postthrombotic syndrome with ulcer and inflammation of right lower…
- I87.032 — Postthrombotic syndrome with ulcer and inflammation of left lower…
- I87.033 — Postthrombotic syndrome with ulcer and inflammation of bilateral…
- I87.1 — Compression of vein
Frequently asked questions
Does Medicare cover I87.313 (Chronic venous hypertension (idiopathic) with ulcer of…)?
Medicare covers items and services, not diagnoses. 5 Medicare billing and coding articles list I87.313 as a covered diagnosis for 12 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 I87.313?
The Level II codes from the policies most specific to this diagnosis are G0127 (Trimming of dystrophic nails, any number, 2 articles); G0283 (Electrical stimulation (unattended), to one or more areas…, 3 articles); G0281 (Electrical stimulation, (unattended), to one or more…, 2 articles); G0329 (Electromagnetic therapy, to one or more areas for chronic…, 2 articles); G0152 (Services performed by a qualified occupational therapist…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list I87.313?
A57954 (Billing and Coding: Routine Foot Care); A52996 (Billing and Coding: Routine Foot Care); A53057 (Billing and Coding: Home Health Occupational Therapy), and 2 more articles.
What is ICD-10-CM code I87.313?
I87.313 is the ICD-10-CM code for chronic venous hypertension (idiopathic) with ulcer of bilateral lower extremity, in category I87 (Other disorders of veins), chapter 9: Diseases of the circulatory system.
Next steps
- Run a reimbursement report for a device billed under G0127
- Watch G0127 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0127
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 9: Diseases of the circulatory system · All diagnoses · HCPCS lookup