The CEAP (Clinical, Etiological, Anatomic, Pathophysiological) Classification and Anatomic Score for Chronic Venous Disease of the Lower Limbs

Clinical Classification

Class

no visible or palpable signs of venous disease

0

telangiectases or reticular veins

1

varicose veins

2

edema

3

skin changes ascribed to venous disease (pigmentation, venous eczema, lipodermatosclerosis)

4

skin changes as defined above with healed ulceration

5

skin changes as defined above with active ulceration

6

Etiological Classification

Code

congenital

C

primary, with undetermined cause

P

secondary (post-thrombotic, post-traumatic, etc.)

S

Anatomic Classification

Venous Segment

Code

superficial veins

telangiectases/reticular veins

S

greater (long) saphenous vein above-the-knee

greater (long) saphenous vein below-the-knee

lesser (short) saphenous vein

nonsaphenous

deep veins

inferior vena cava

D

common iliac

internal iliac

external iliac

pelvic (gonadal, broad ligament, other)

common femoral

deep femoral

superficial femoral

popliteal

crural (anterior tibial, posterior tibial, peroneal)

muscular (gastrocnemial, soleal, other)

perforating veins

thigh

P

calf

Pathophysiological Classification

Code

reflux

R

obstruction

O

both reflux and obstruction

R, O