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Chronic venous disease is classified based on CEAP (clinical, etiologic, anatomic, and pathophysiologic) criteria:

Updated 2020 CEAP classification guidelines are as follows:

1. C0: Without any visible or palpable signs of disease.

2. C1: Telangiectasia or reticular veins

3. C2: Varicose veins

   1. C2r: Recurrent varicose veins

4. C3: Edema is present

5. C4: Changes in skin and subcutaneous tissue

   1. C4a: Pigmentation or eczema

   2. C4b: Lipodermatosclerosis or atrophie blanche

   3. C4c: Corona phlebectatica

6. C5: Healed ulcers

7. C6: Active ulcers

   1. C6r: Recurrent active venous ulcer
      
      
      The updates are published by Fedor Lurie, Marc Passman, Mark Meisner MD, Elna Masuda, Hrold Welch, Ruth Bush, John Blebea, Patrick H Carpenter, Marianne De Maeseneer, Anthony Gasparis,  Nicos Labropoulos, William A Marston, Joseph Rafetto, Fabricio Santiago, Cynthia Shortell, Jean Francois Uhl, Tomasz Urbanek, Andre van Rij, Bo Eklof, Peter Glovickzi, Robert Kistner, Peter Lawrence, Gregory Moneta, Frank Padberg, Michel Perrin and Thomas Wakefield. 
      
      The article is published in J Vasc Surg Venous Lymhat Disord 2020; 8(3): 342-352.