Revised Venous Clinical Severity Score

Assess severity of venous disease.


1.Right leg: Pain
2.Right leg: Varicose Veins
3.Right leg: Venous Edema
4.Right leg: Skin Pigmentation
5.Right leg: Inflammation
6.Right leg: Induration
7.Right leg: Active Ulcer Number
8.Right leg: Active Ulcer Duration
9.Right leg: Active Ulcer Size
10.Right leg: Use of Compression Therapy
11.Left leg: Pain
12.Left leg: Varicose Veins
13.Left leg: Venous Edema
14.Left leg: Skin Pigmentation
15.Left leg: Inflammation
16.Left leg: Induration
17.Left leg: Active Ulcer Number
18.Left leg: Active Ulcer Duration
19.Left leg: Active Ulcer Size
20.Left leg: Use of Compression Therapy


The venous clinical severity score (VCSS) is used to assess those with venous disease that that is complementary to the CEAP classification.

The score includes 10 clinical parameters (pain, varicose veins, venous edema, skin hyperpigmentation, inflammation, induration, number of ulcers, durations of ulcers, size of ulcers, and compliance with compression therapy). Each item is graded from zero to three depending on severity (None = 0, Mild = 1, Moderate = 2, Severe = 3).


Rutherford RB, Padberg FT Jr, Comerota AJ, Kistner RL, Meissner MH, Moneta GL.

Venous severity scoring: An adjunct to venous outcome assessment.

Journal of Vascular Surgery 2000, 31 (6): 1307-12

The Revised Venous Clinical Severity Score calculator is created by QxMD.

Created by on 10/09/2016

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1. Right leg: Pain

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or other discomfort (ie, aching, heaviness, fatigue, soreness, burning)

Presumes venous origin

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