Esophageal varices
In Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89), chapter 9: Diseases of the Circulatory System
4 billable codes under I85: 2 are an MCC, 2 are a CC; all map to HCC 63 (Chronic Liver Failure/End-Stage Liver Disorders).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Use additional code: add a second code for this, listed after this one
- code to identify:
- alcohol abuse and dependence (F10.-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers hypertension with heart and kidney disease, coronary artery disease with angina, perioperative stroke, cerebrovascular sequelae, and acute myocardial infarction types and timing.
- Hypertension (page 50)
- Atherosclerotic Coronary Artery Disease and Angina (page 52)
- Intraoperative and Postprocedural Cerebrovascular Accident (page 53)
- Sequelae of Cerebrovascular Disease (page 53)
- Acute myocardial infarction (AMI) (page 54)
All codes under I85
I85 can't be used on a claim. Pick a billable code below; grey headings group them.
I85 MS-DRGs
As the principal diagnosis, the billable codes under I85 group to MS-DRG 368, 369, 370, 393, 394, or 395 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 368 Major Esophageal Disorders with MCC (3 of 4 codes)
- DRG 369 Major Esophageal Disorders with CC (3 of 4 codes)
- DRG 370 Major Esophageal Disorders without CC/MCC (3 of 4 codes)
- DRG 393 Other Digestive System Diagnoses with MCC (1 of 4 codes)
- DRG 394 Other Digestive System Diagnoses with CC (1 of 4 codes)
- DRG 395 Other Digestive System Diagnoses without CC/MCC (1 of 4 codes)
Other codes that refer to I85
Notes on these codes point to I85.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Esophagus Disorders
Esophagus disorders are problems with how your esophagus works. The esophagus is the tube that carries food from your mouth to your stomach. You usually don't notice it unless you swallow something too big, hot, or cold. You might also notice it if something is wrong. When that happens, you might feel pain or have trouble swallowing (dysphagia).
Read more about esophagus disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.