O87.4 Varicose veins of lower extremity in the puerperium

Billable ICD-10-CM code, FY2026.

Applies from O87 Venous complications and hemorrhoids in the puerperium

Includes

• venous complications in labor, delivery and the puerperium

Excludes2 (not included here)

• obstetric embolism (O88.-)
• puerperal septic thrombophlebitis (O86.81)
• venous complications in pregnancy (O22.-)

MS-DRG index

Defines the logic of DRG(s) 769 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 671.02 Varicose veins of legs complicating pregnancy and the puerperium, delivered, with mention of postpartum complication (approximate)
• 671.04 Varicose veins of legs complicating pregnancy and the puerperium, postpartum condition or complication (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Maternity diagnoses (age 9 through 64): Age conflict edit. These diagnoses are clinically expected only in patients age 9 through 64.

Code annotations containing back-references to O87.4

Back-references to O87.4

• Type 2 Excludes: I83 Varicose veins of lower extremities ("varicose veins complicating the puerperium (O87.4)")

Back-references to O87

• Code First: I80 Phlebitis and thrombophlebitis ("phlebitis and thrombophlebitis complicating pregnancy, childbirth and the puerperium (O22.-, O87.-)")
• Code First: I82 Other venous embolism and thrombosis ("pregnancy, childbirth and the puerperium (O22.-, O87.-)")
• Type 2 Excludes: O22 Venous complications and hemorrhoids in pregnancy ("venous complications and hemorrhoids of childbirth and the puerperium (O87.-)")
• Type 2 Excludes: O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium ("venous complications and cerebrovenous sinus thrombosis in labor, childbirth and the puerperium (O87.-)")

Diagnosis Index entries for O87.4

• Puerperal, puerperium (complicated by, complications) › varicose veins (legs)
• Varix (lower limb) › complicating › childbirth (lower extremity)
• Varix (lower limb) › complicating › puerperium (lower extremity)

Nearby codes

• O87 Venous complications and hemorrhoids in the puerperium
• O87.0 Superficial thrombophlebitis in the puerperium
• O87.1 Deep phlebothrombosis in the puerperium
• O87.2 Hemorrhoids in the puerperium
• O87.3 Cerebral venous thrombosis in the puerperium
• O87.4 Varicose veins of lower extremity in the puerperium (this code)
• O87.8 Other venous complications in the puerperium
• O87.9 Venous complication in the puerperium, unspecified