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Home/Diagnosis/ICD-10 Coding for Esophageal Varices

ICD-10 Coding for Esophageal Varices

I85.01
I85.00

Complete ICD-10-CM coding and documentation guide for icd-10 coding for esophageal varices includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Varices of the Esophagus
Esophageal Vein Swelling
esophagus varices
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Key Information: ICD-10 Coding for Esophageal Varices

Essential facts and insights about ICD-10 Coding for Esophageal Varices

Use ICD-10 code I85.01 for esophageal varices with bleeding, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Esophageal varices with bleeding

Billable Code
I85.01
Billable

Diagnostic Criteria

clinical:
  • • Presence of hematemesis or melena with endoscopic confirmation
documentation:
  • • Explicit documentation of bleeding source

Applicable To

  • • Active variceal bleeding

Important Notes

  • • Ensure documentation explicitly links varices to the underlying cause.

Esophageal varices without bleeding

Billable Code
I85.00
Billable

Diagnostic Criteria

clinical:
  • • Endoscopic findings of varices without bleeding
  • • Imaging showing portal hypertension

Applicable To

  • • Non-bleeding esophageal varices

Important Notes

  • • Ensure documentation specifies the absence of bleeding.
Ancillary Codes

Additional codes that may be used with this diagnosis

K70.31

Alcoholic cirrhosis with ascites

Code first if varices are due to alcoholic cirrhosis.

K74.60

Cirrhosis of liver, unspecified

Code first if varices are due to cirrhosis.

Frequently Asked Questions

What is the ICD-10 code for esophageal varices with bleeding?

The ICD-10 code for esophageal varices with bleeding is I85.01. It is used when there is confirmed active bleeding from esophageal varices.

How do you code esophageal varices without bleeding?

Use ICD-10 code I85.00 for esophageal varices without bleeding, ensuring the underlying condition is also coded.

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